FDA Adverse Event Injury Summary report: N

AIRWAY MOBILESCOPE

MDR report key: 11424113 · Received March 5, 2021

Report

Report Number
2951238-2021-00298
Event Type
Injury
Date Received
March 5, 2021
Report Date
March 5, 2021
Manufacturer
OLYMPUS MEDICAL SYSTEMS CORP.
Product Code
EOQ
UDI-DI
04953170340369
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT IS REPORTED IN THE LITERATURE ARTICLE TITLED "MANAGEMENT OF PATIENTS WITH PREDICTED DIFFICULT AIRWAYS IN AN ACADEMIC EMERGENCY DEPARTMENT ", TWO OF SEVEN PATIENTS FROM THE AWAKE GROUP HAD AIRWAY INTUBATION PERFORMED USING OLYMPUS MAF-GM. FIVE PATIENTS FROM THIS GROUP EXPERIENCED ADVERSE EVENTS (HYPOXIA-2, DYSRHYTHMIA-2, AND PERI-INTUBATION ARREST-1). THERE IS NO SPECIFIC INFORMATION AVAILABLE TO CLARIFY WHICH (IF ANY) OF THE FIVE PATIENTS EXPERIENCING AN ADVERSE EVENT WERE INTUBATED USING THE MAF-GM. IT IS REPORTED THAT ALL PATIENTS IN THIS STUDY WERE PREDICTED TO HAVE DIFFICULT AIRWAYS TO INTUBATE. IT IS ALSO REPORTED THAT NO PATIENT IN THIS STUDY REQUIRED SURGICAL AIRWAY INTERVENTION. THIS REPORT IS BEING SUBMITTED TO REPORT THE POTENTIAL THAT AN OLYMPUS DEVICE COULD HAVE CAUSED OR CONTRIBUTED TO AN ADVERSE EVENT IN EITHER OF THE TWO PATIENTS THAT WERE INTUBATED USING THE MAF-GM. THERE IS NO REPORT THAT THE MAF-GM MALFUNCTIONED IN ANY WAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
322789 AIRWAY MOBILESCOPE AIRWAY MOBILESCOPE EOQ OLYMPUS MEDICAL SYSTEMS CORP. MAF-GM 04953170340369

Patients

Seq Age Sex Outcome Treatment
1 Other