BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GLIDESCOPE

    MDR report key: 2972147 · Received February 15, 2013

    Report

    Report Number
    9615393-2013-00077
    Event Type
    Malfunction
    Date Received
    February 15, 2013
    Date of Event
    January 17, 2013
    Report Date
    January 17, 2013
    Manufacturer
    VERATHON MEDICAL (CANADA) ULC.
    Product Code
    CCW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE CUSTOMER WILL CALL BACK WITH THE SERIAL NUMBER FOR THE GLIDESCOPE. THIS PRODUCT INFO IS NOT AVAILABLE AT THIS TIME.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE DEVICE WAS FUZZY. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    69493 GLIDESCOPE NONE CCW VERATHON MEDICAL (CANADA) ULC.

    Patients

    Seq Age Sex Outcome Treatment
    1