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