FDA Adverse Event
Malfunction
Summary report: N
BRITEPRO OMNI SINGLE USE LARYNGOSCOPE HANDLE
MDR report key: 14167858
·
Received April 20, 2022
Report
- Report Number
- MW5109208
- Event Type
- Malfunction
- Date Received
- April 20, 2022
- Date of Event
- April 18, 2022
- Report Date
- April 18, 2022
- Manufacturer
- FLEXICARE MEDICAL LTD.
- Product Code
- CCW
- UDI-DI
- 05055788768838
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
BRITEPRO OMNI STERILE SINGLE USE LARYNGOSCOPE HANDLE (MAC2) WITH BATTERIES AND FITTED BLADE - LIGHT DOES NOT WORK. BRITEPRO LIGHT FAILED. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2715600 | BRITEPRO OMNI SINGLE USE LARYNGOSCOPE HANDLE | LARYNGOSCOPE, RIGID | CCW | FLEXICARE MEDICAL LTD. | BRITEPRO MAC 2 | 191101795 | 05055788768838 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |