BEUDAMED
    FDA Adverse Event Death Summary report: N

    RUSCH GREENSPEC FIBER OPTIC MEDIUM HANDLE

    MDR report key: 1190229 · Received October 6, 2008

    Report

    Report Number
    1044475-2008-00034
    Event Type
    Death
    Date Received
    October 6, 2008
    Report Date
    September 24, 2008
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    EQN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    SAMPLE REQUESTED, BUT NOT RETURNED YET. INVESTIGATION ONGOING AND A FOLLOW UP REPORT WILL BE SENT AS SOON AS IT IS AVAILABLE.

    Description of Event or Problem · 1

    INCIDENT REPORTED AS: A CODE WAS CALLED ON A PT AND THE STAFF PULLED THE INTUBATION TRAY. WHILE IN PROCESS OF RESUSCITATING THE PT, THE LIGHT ON THE HANDLE DID NOT COME ON. THE STAFF HAD TO RETRIEVE ANOTHER INTUBATION TRAY. THE PT SUBSEQUENTLY DIED. NO FURTHER INFO AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RUSCH GREENSPEC FIBER OPTIC MEDIUM HANDLE FIBER OPTIC HANDLE EQN TELEFLEX MEDICAL NA 074901

    Patients

    Seq Age Sex Outcome Treatment
    1 Death