BEUDAMED
    FDA Adverse Event Other Summary report: N

    VITAL VIEW LARYNGOSCOPE BLADE

    MDR report key: 365309 · Received December 6, 2001

    Report

    Report Number
    2242551-2001-00011
    Event Type
    Other
    Date Received
    December 6, 2001
    Date of Event
    November 12, 2001
    Report Date
    December 4, 2001
    Manufacturer
    VITAL SIGNS, INC.
    Product Code
    CCW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ACCOUNT REPORTS THEY TRIED TO INTUBATE A PT, WHEN THE BLADE BROKE. THIS CAUSED INJURY TO THE PT'S TEETH AND MOUTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    54989 VITAL VIEW LARYNGOSCOPE BLADE LARYNGOSCOPE BLADE CCW VITAL SIGNS, INC. 4512 A325

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other