BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BRITEPRO SOLO STUBBY

    MDR report key: 19943244 · Received August 8, 2024

    Report

    Report Number
    3006061749-2024-00030
    Event Type
    Malfunction
    Date Received
    August 8, 2024
    Date of Event
    July 9, 2024
    Report Date
    July 9, 2024
    Manufacturer
    FLEXICARE MEDICAL LTD
    Product Code
    CCW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    UDI INFORMATION IS NOT AVAVILBE AT THE TIME OF THIS SUBMISSION.

    Description of Event or Problem · 0

    DETAILS OF THE EVENT AS TOLD TO MANUFACTURER 'DURING INTUBATION THE CAP AT THE END DISCONNECTED AND THE USER LOST THEIR VIEW BECAUSE THE LIGHT WENT OUT'

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1065947 BRITEPRO SOLO STUBBY LARYNGOSCOPE CCW FLEXICARE MEDICAL LTD 231201803

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown