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 |