BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GLIDESCOPE COBALT VIDEO BATON 1-2

    MDR report key: 2974060 · Received February 19, 2013

    Report

    Report Number
    9615393-2013-00099
    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
    KS, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR FURTHER EVALUATION. THE REPORTED INCIDENT COULD NOT BE CONFIRMED.

    Description of Event or Problem · 1

    THE CUSTOMER CONTACTED VERATHON INC. REGARDING A GLIDESCOPE COBALT VIDEO BATON 1-2 THAT HAS A WAVY IMAGE AND APPEARING NOT CLEAR ON THE SCREEN. THERE WAS NO INJURY TO PATIENT REPORTED WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    73233 GLIDESCOPE COBALT VIDEO BATON 1-2 NONE CCW VERATHON MEDICAL (CANADA) ULC. 0570-0210

    Patients

    Seq Age Sex Outcome Treatment
    1