BEUDAMED
    FDA Adverse Event Death Summary report: N

    GLIDESCOPE COBALT VIDEO BATON 3-4

    MDR report key: 3786220 · Received April 14, 2014

    Report

    Report Number
    9615393-2014-00013
    Event Type
    Death
    Date Received
    April 14, 2014
    Manufacturer
    VERATHON MEDICAL ULC.
    Product Code
    CCW
    PMA / PMN Number
    EXEMPT
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    A RETURN AUTHORIZATION HAS BEEN SET UP FOR THE HOSPITAL TO RETURN THE GLIDESCOPE AND STAT TO VERATHON. THE GLIDESCOPE UNIT WILL BE EVALUATED ONCE IT IS RETURNED. ADD'L DEVICE COMPONENT: GVL 4 STAT (0270-0628).

    Description of Event or Problem · 1

    REF # IMP (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    228307 GLIDESCOPE COBALT VIDEO BATON 3-4 VIDEO LARYNGOSCOPE CCW VERATHON MEDICAL ULC.

    Patients

    Seq Age Sex Outcome Treatment
    1