BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FOREGGER MILLER

    MDR report key: 12227 · Received February 16, 1994

    Report

    Report Number
    12227
    Event Type
    Malfunction
    Date Received
    February 16, 1994
    Date of Event
    February 9, 1994
    Report Date
    February 15, 1994
    Manufacturer
    PURITAN-BENNETT
    Product Code
    EQN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BULB ON LARYNGOSCOPE DISLODGED DURING USE AND INFANT INGESTED BULB. INFANT WAS DISCHARGED ON 2/11/94 AND HAD NOT PASSED BULB. IT WAS REPORTED INFANT PASSED BULB ON 2/14/94 AT HOME WITH NO COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FOREGGER MILLER LARYNGOSCOPE EQN PURITAN-BENNETT

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DAY