BEUDAMED
    FDA Adverse Event Other Summary report: N

    BRITEPRO SOLO MINI SINGLE-USE FIBER OPTIC LARYNGOSCOPE HANDLE

    MDR report key: 17833511 · Received September 28, 2023

    Report

    Report Number
    17833511
    Event Type
    Other
    Date Received
    September 28, 2023
    Date of Event
    September 5, 2023
    Report Date
    September 7, 2023
    Manufacturer
    FLEXICARE MEDICAL LIMITED
    Product Code
    CCW
    Report Source
    User Facility report
    Reporter Location
    CA
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    PEDIATRIC CPR ARRIVED TO ER. I WAS PREPARING FOR INTUBATION WHEN IT WAS DISCOVERED THAT THE MAC 2 BLADE AND HANDLE WERE NOT WORKING PROPERLY. THE LIGHT ON THE BLADE WOULD NOT ILLUMINATE. AN ADDITIONAL HANDLE AND BLADE COULD NOT BE FOUND IN THE BROSLOW CART. PATIENT WAS INTUBATED SUCCESSFULLY WITH EQUIPMENT FROM THE AIRWAY CART PROVIDED BY RESPIRATORY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1154912 BRITEPRO SOLO MINI SINGLE-USE FIBER OPTIC LARYNGOSCOPE HANDLE LARYNGOSCOPE, RIGID CCW FLEXICARE MEDICAL LIMITED 040-309U

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DA Unknown