BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GLIDESCOPE COBALT VIDEO BATON 1-2

    MDR report key: 2974044 · Received February 19, 2013

    Report

    Report Number
    9615393-2013-00095
    Event Type
    Malfunction
    Date Received
    February 19, 2013
    Date of Event
    January 21, 2013
    Report Date
    January 21, 2013
    Manufacturer
    VERATHON MEDICAL (CANADA) ULC
    Product Code
    CCW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    SERVICE RECEIVED THE DEVICE FOR FURTHER EVALAUTION. SERVICE CONFIRMED THE REPORTED INCIDENT AND A REPLACEMENT DEVICE WILL BE SENT TO THE CUSTOMER.

    Description of Event or Problem · 1

    THE CUSTOMER CONTACTED VERATHON INC. REGARDING A GLIDESCOPE COBALT VIDEO BATON 1-2 BATON LIGHTS THAT ARE NOT FUNCTIONING. THE DEVICE WAS RETURNED FOR FURTHER EVALUATION. NO INJURY TO PATIENT WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    72559 GLIDESCOPE COBALT VIDEO BATON 1-2 NONE CCW VERATHON MEDICAL (CANADA) ULC 0570-0210

    Patients

    Seq Age Sex Outcome Treatment
    1