FDA Adverse Event Malfunction Summary report: N

MCGRATH

MDR report key: 23499098 · Received November 7, 2025

Report

Report Number
3003120897-2025-00522
Event Type
Malfunction
Date Received
November 7, 2025
Date of Event
November 3, 2025
Report Date
November 7, 2025
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
CCW
UDI-DI
10884521824157
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

D10 CONCOMITANT PRODUCT: 340-000-000, 340-000-000 MCGRATH 3.6V BATTERY 340-000-000, LOT# H25051204. 340-000-000, 340-000-000 MCGRATH 3.6V BATTERY 340-000-000, LOT# H24122104. 340-000-000, 340-000-000 MCGRATH 3.6V BATTERY 340-000-000, LOT# H24071204. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT, IN AN AMBULANCE SETTING, MULTIPLE BATTERIES EXHIBITED SEVERAL ISSUES INCLUDING FAILURE TO TURN ON AND BLUE SCREENS APPEARING. HANDLES WERE TESTED WITH KNOWN GOOD BATTERIES, BUT IT WAS UNKNOWN IF THE PROBLEM WAS RESOLVED AFTER REPLACEMENT. FOR SOME DEVICES, THE LIGHT-EMITTING DIODE WAS ILLUMINATED ON THE DISPLAY, BUT THE BATTERY ICON WAS NOT SHOWN; FOR OTHERS, THE LED WAS NOT ILLUMINATED. THERE WAS NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1861954 MCGRATH LARYNGOSCOPE, RIGID CCW MEDTRONIC SOFAMOR DANEK USA, INC 340-000-000 H24071204 10884521824157

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown