BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GLIDESCOPE COBALT AVL BATON 1-2

    MDR report key: 2972586 · Received February 15, 2013

    Report

    Report Number
    9615393-2013-00088
    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

    THE REPORTED ISSUE COULD NOT BE CONFIRMED. A REPLACEMENT BATON WAS SENT TO THE CUSTOMER.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE LIGHT ON THE PEDIATRIC BATON WAS INTERMITTENTLY DIM. NO PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    69686 GLIDESCOPE COBALT AVL BATON 1-2 NONE CCW VERATHON MEDICAL (CANADA) ULC 0570-0312

    Patients

    Seq Age Sex Outcome Treatment
    1