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