BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BULLARD INTUBATING LARYNGOSCOPE

    MDR report key: 34544 · Received July 8, 1996

    Report

    Report Number
    34544
    Event Type
    Injury
    Date Received
    July 8, 1996
    Date of Event
    September 29, 1995
    Report Date
    March 4, 1996
    Manufacturer
    CIRCON ACMI
    Product Code
    EQN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PLASTIC EXTENSION ON LARYNGOSCOPE FELL OFF DURING ANESTHESIA AND WAS DISCOVERED WHEN THE PT WAS TRANSFERRED TO THE RECOVERY AREA. PT SUFFERED SOME SORENESS OF THE THROAT FOR 24 HRS BUT SUBSEQUENTLY RECOVERED WITHOUT ADD'L PROBLEMS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BULLARD INTUBATING LARYNGOSCOPE LARYNGOSCOPE EQN CIRCON ACMI LAR-A

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention