BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RUSCH EMERALD FO MILLER BLADE 2

    MDR report key: 3813234 · Received March 31, 2014

    Report

    Report Number
    1044475-2014-00106
    Event Type
    Malfunction
    Date Received
    March 31, 2014
    Date of Event
    March 20, 2014
    Report Date
    March 20, 2014
    Manufacturer
    TELEFLEX
    Product Code
    CCW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE SAMPLE WAS NOT RETURNED FOR EVALUATION AT THE TIME OF THIS REPORT.

    Description of Event or Problem · 1

    THE COMPLAINT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE BLADE IS STICKING ONTO THE HANDLE AND CANNOT BE REMOVED EASILY. THE ALLEGED ISSUE OCCURED DURING PRE-TESTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    189892 RUSCH EMERALD FO MILLER BLADE 2 LARYNGOSCOPE BLADE CCW TELEFLEX

    Patients

    Seq Age Sex Outcome Treatment
    1