FDA Adverse Event
Injury
Summary report: N
GLIDESCOPE 10 HDMI CABLE
MDR report key: 19250176
·
Received May 3, 2024
Report
- Report Number
- MW5154546
- Event Type
- Injury
- Date Received
- May 3, 2024
- Date of Event
- April 30, 2024
- Report Date
- May 1, 2024
- Manufacturer
- VERATHON INC.
- Product Code
- CCW
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
GLIDESCOPE FAILED DURING ACLS (ADVANCED CARDIAC LIFE SUPPORT). SCREEN DISPLAY WAS TOTALLY BLACK. ISSUE IDENTIFIED AS BENT PINS AT HDMI CABLE CONNECTION. RESUSCITATION MAINTAINED WITH CONTINUOUS VENTILATION AND PATIENT INTUBATED BY DIRECT LARYNGOSCOPY. AIRWAY CONFIRMED WITH AUSCULTATION AND CO2 (CARBON DIOXIDE) DETECTOR. A SECOND GLIDESCOPE OBTAINED BY RESPIRATORY STAFF AND FOUND TO BE IN WORKING ORDER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 642683 | GLIDESCOPE 10 HDMI CABLE | LARYNGOSCOPE, RIGID | CCW | VERATHON INC. | GLIDESCOPE CORE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Male | Required Intervention |