FDA Adverse Event Malfunction Summary report: N

PROVU SINGLE USE VIDEO LARYNGOSCOPE HANDLE WITH HYPER ANGULATED BLADE SIZE 3.5

MDR report key: 23754472 · Received December 9, 2025

Report

Report Number
3006061749-2025-00061
Event Type
Malfunction
Date Received
December 9, 2025
Date of Event
November 19, 2025
Report Date
December 8, 2025
Manufacturer
FLEXICARE MEDICAL LTD.
Product Code
BTR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

WENT TO INTUBATE PATIENT AND BLADE WOULD NOT PROPERLY CONNECT TO MONITOR AND VIDEO WOULD GO OUT. NO SERIOUS INJURY/HARM TO PATIENT. NO INDIRECT HARM. NO REQUIRED INTERVENTION TO PREVENT PERMANENT DAMAGE. NO HOSPITALISATION - INITIAL OR STAY PROLONGED BY 1 DAY OR MORE. NO SERIOUS INJURY, DISABILITY OR PERMANENT IMPAIRMENT. NOT LIFE THREATENING. NO DEATHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2114761 PROVU SINGLE USE VIDEO LARYNGOSCOPE HANDLE WITH HYPER ANGULATED BLADE SIZE 3.5 PROVU SINGLE USE VIDEO LARYNGOSCOPE HANDLE WITH HYPER ANGULATED BLADE SIZE 3.5 BTR FLEXICARE MEDICAL LTD. NOT PROVIDED

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown