BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DISPOSABLE LARYNGOSCOPE BLADE

    MDR report key: 293265 · Received August 25, 2000

    Report

    Report Number
    1044265-2000-00038
    Event Type
    Malfunction
    Date Received
    August 25, 2000
    Date of Event
    July 28, 2000
    Report Date
    July 28, 2000
    Manufacturer
    SIMS PORTEX INC.
    Product Code
    EQN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE LARYNGOSCOPE BLADE WAS BEING UTILIZED FOR INTUBATION WHEN TWO PIECES OF THE PLASTIC FIBER-OPTIC LIGHT COLUMN ALLEGEDLY FELL INTO THE PT'S AIRWAY. THE PT WAS TURNED PRONE AND BOTH PIECES WERE RETRIEVED WITHOUT PT COMPROMISE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DISPOSABLE LARYNGOSCOPE BLADE LARYNGOSCOPE BLADE EQN SIMS PORTEX INC. NA 9K0664

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO