FDA Adverse Event
Death
Summary report: N
BRITEPRO MAX
MDR report key: 19890736
·
Received August 2, 2024
Report
- Report Number
- 3006061749-2024-00029
- Event Type
- Death
- Date Received
- August 2, 2024
- Date of Event
- July 3, 2024
- Report Date
- July 3, 2024
- Manufacturer
- FLEXICARE MEDICAL LTD
- Product Code
- CCW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDTIONAL COMMENTS RECIEVED REGARDING THE EVENT STATE ' THE PASSING OF THE BABY WAS NOT BECAUSE OF THE LARYNGOSCOPE'. UDI INFORMATION HAS NOT BEEN ABLE TO BE OBTAINED.
Description of Event or Problem · 0
EVENT DETAILS AS DECRIBE TO MANAUFACTUIRER 'LIGHT WAS FLICKERING DURING INTUBATION ON 24 WEEK BABY. IF BLADE WAS PUSHED DOWN THE LIGHT WOULD STAY ON.' 'THE BABY HAD ANATOMICAL ISSUES AND COULD NOT VENTILATE.'
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 983892 | BRITEPRO MAX | LARYNGOSCOPE | CCW | FLEXICARE MEDICAL LTD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 5 MO | Unknown |