FDA Adverse Event
Malfunction
Summary report: N
GLIDESCOPE COBALT AVL BATON 3-4
MDR report key: 2972568
·
Received February 15, 2013
Report
- Report Number
- 9615393-2013-00087
- Event Type
- Malfunction
- Date Received
- February 15, 2013
- Date of Event
- January 18, 2013
- Report Date
- January 18, 2013
- Manufacturer
- VERATHON MEDICAL (CANADA) ULC.
- Product Code
- CCW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
EVALUATION RESULTS PENDING ANALYSIS OF THE PRODUCT.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ADULT BATON DID NOT DISPLAY AN OUTPUT ON THE LED'S. THERE WERE NO LIGHTS. NO PATIENT INJURY WAS INVOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 69950 | GLIDESCOPE COBALT AVL BATON 3-4 | NONE | CCW | VERATHON MEDICAL (CANADA) ULC. | 0570-0313 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |