FDA Adverse Event
Death
Summary report: N
BRITEPRO SOLO
MDR report key: 16973973
·
Received May 22, 2023
Report
- Report Number
- 3006061749-2023-00014
- Event Type
- Death
- Date Received
- May 22, 2023
- Date of Event
- February 16, 2023
- Report Date
- March 10, 2023
- Manufacturer
- FLEXICARE MEDICAL LTD
- Product Code
- CCW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NO
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
WHILE "DEATH" HAS BEEN REPORTED. THIS WAS NOT ATTRIBUTED TO THE LARYNGOSCOPE DEVICE ERROR - SEE BELOW FOR CLINICIANS COMMENTS: "PATIENT DIED/WAS DEAD, RESUSCITATION FAILED. CLINICIAN COULD NOT STATE THAT THE DEFECT LARYNGOSCOPE CAUSE THE FAILURE OF RESUSCITATION. THERE WAS A SMALL DELAY IN INTUBATION."
Description of Event or Problem · 0
EVENT OCCURED AS DESCRIBED BELOW BY COMPLAINANT - "ACUTE HEART ARREST/RESUCITATION - BO LIGHT IN THE LARYNGOSCOPE. FOUND ANOTHER ONE FROM THE SAME LOT THAT WORKED." CLINICIANS ADDITONAL COMMENTS AS BELOW - "PATIENT DIED/WAS DEAD, RESUCITATION FAILED. CLINICIAN COULD NOT STATE THAT THE DEFECT LARYNGOSCOPE CAUSE THE FAILURE OF RESUCITATION. THERE WAS A SMALL DELAY IN INTUBATION."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 808477 | BRITEPRO SOLO | LARYNGOSCOPE | CCW | FLEXICARE MEDICAL LTD | 190800671 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |