BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CURAPLEX

    MDR report key: 20382998 · Received October 7, 2024

    Report

    Report Number
    20382998
    Event Type
    Malfunction
    Date Received
    October 7, 2024
    Date of Event
    July 23, 2024
    Report Date
    August 22, 2024
    Manufacturer
    BOUND TREE MEDICAL, LLC
    Product Code
    CCW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    A LARYNGOSCOPE FROM THE ANESTHESIA CART WAS PULLED YESTERDAY FOR A PATIENT THAT WE HAD TO EMERGENTLY INTUBATE. THE LARYNGOSCOPE WAS NOT FUNCTIONING PROPERLY, IT DID NOT LIGHT UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    268352 CURAPLEX LARYNGOSCOPE, RIGID CCW BOUND TREE MEDICAL, LLC 301-LED-030S 210927D0326

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Prefer Not To Disclose