FDA Adverse Event Summary report: N

LARYNGOSCOPE HANDLE

MDR report key: 11328 · Received February 1, 1994

Report

Report Number
MW4000123
Date Received
February 1, 1994
Report Date
September 11, 1992
Manufacturer
AESCULAP INSTRUMENT CORP.
Product Code
EQN
Report Source
Voluntary report
Reporter Location
AR, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

LARYNGOSCOPE HANDLES MFG WITH A SCREW THREAD CROSS BAR/PIN ARE SUBJECT TO THE PIN LOOSENING AND FALLING OUT. DURING A RECENT AMBULANCE TRANSFER, AN ER PHYSICIAN WAS READYING A LARYNGOSCOPE FOR POSSIBLE USE ON A PEDIATRIC OVERDOSE PT. THE HANDLE WAS READILY LOCATED, BUT THE SCREW THREADED CROSS BAR/PIN HAD BECOME UNSCREWED AND FELL OUT OF THE HANDLE. IT WAS LOCATED AFTER A SHORT SEARCH, BUT THIS WAS PURELY LUCK AS THE PIECE IS SO SMALL IT MIGHT HAVE BEEN LOST COMPLETELY. THIS WOULD HAVE RENDERED THE HANDLE INOPERABLE. RECOMMENDATION: RECOMMEND THESE TYPE HANDLES WITH SCREW THREADED CROSS BAR/PINS BE REMOVED FROM AMBULANCE, FIELD AND CLINIC USE. ANESTHESIA DEPTS COULD CONTINUE USING THESE BECAUSE SUCH EQUIPMENT IS SUBJECT TO RIGOROUS AND REGULAR FUNCTION CHECKS. ALSO, ANESTHESIA DEPTS WOULD BE THE MOST LIKELY TO HAVE ADD'L BACK UP HANDLES SHOULD ONE OF THESE THREAD TYPES FAIL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LARYNGOSCOPE HANDLE EQN AESCULAP INSTRUMENT CORP. 319

Patients

Seq Age Sex Outcome Treatment
1 *