BEUDAMED
    FDA Adverse Event Death Summary report: N

    GREEN LIGHT

    MDR report key: 2634131 · Received June 25, 2012

    Report

    Report Number
    2634131
    Event Type
    Death
    Date Received
    June 25, 2012
    Date of Event
    June 19, 2012
    Report Date
    June 25, 2012
    Manufacturer
    GE HEALTHCARE
    Product Code
    CCW
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ATTEMPTING TO INTUBATE DURING A CODE BLUE EVENT - A #3 DISPOSABLE BLADE MADE AVAILABLE TO MD FOR INTUBATION BUT FAILED AFTER MULTIPLE ATTEMPTS, AIRWAY MANAGEMENT TAKEN OVER BY ANOTHER MD ATTEMPTS WITH THE DISPOSABLE #4 BUT COULD NOT GET A VIEW BECAUSE THE BLADE KEPT COLLAPSING AND THE VIEW WAS HORRIBLE KEPT THIS MD THEN WENT BACK TO THE #3 ORIGINALLY USED WHEN THE INITAL INTUBATION WAS ATTEMPTED. FINALLY, A NON-DISPOSABLE BLADE WAS USED WITH SUCCESSFUL INTUBATION. USE OF THIS DISPOSABLE PRODUCT ADDED TO DELAY WITH INTUBATION DUE TO THE SLENDER BLADE THE SUBGLOTTIS TISSUE FOLDED OVER THE BLADE OBSTRUCTING THE VIEW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GREEN LIGHT LARYNGOSCOPE, DISPOSABLE CCW GE HEALTHCARE 4613 5335L

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Death