BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VERATHON FIBER OPTIC GLIDESCOPE GLIDESCOPE 3.8

    MDR report key: 17624522 · Received August 24, 2023

    Report

    Report Number
    MW5144971
    Event Type
    Injury
    Date Received
    August 24, 2023
    Date of Event
    July 6, 2023
    Report Date
    August 22, 2023
    Manufacturer
    VERATHON, INC.
    Product Code
    EOQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    DURING USE OF A GLIDESCOPE FOR DUAL LUMEN INTUBATION THE END OF THE DEVICE BROKE OFF IN THE BRONCHUS. ANOTHER SCOPE WAS USED TO RETRIEVE THE BROKEN PIECE. THE BROKEN PIECE WAS HOLLOW PLASTIC APPROXIMATELY 4-5 MM IN DIAMETER AND 1.5-2 CM IN LENGTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    999554 VERATHON FIBER OPTIC GLIDESCOPE GLIDESCOPE 3.8 BRONCHOSCOPE (FLEXIBLE OR RIGID) EOQ VERATHON, INC. 0570-0380 FU231800

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Female Required Intervention