BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RUSCH GREEN RUSCHLITE DISP MTL MILL 2

    MDR report key: 3970607 · Received June 2, 2014

    Report

    Report Number
    1044475-2014-00150
    Event Type
    Malfunction
    Date Received
    June 2, 2014
    Date of Event
    May 15, 2014
    Report Date
    May 15, 2014
    Manufacturer
    TELEFLEX
    Product Code
    CCW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE AVAILABLE FOR EVAL? IT IS UNK IF THE DEVICE SAMPLE IS AVAILABLE FOR EVAL.

    Description of Event or Problem · 1

    THE COMPLAINT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE PLASTIC WAS BROKEN ON THE BLADE WHEN IT WAS OPENED BY THE CLINICIAN PRIOR TO PT USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    320936 RUSCH GREEN RUSCHLITE DISP MTL MILL 2 LARYNGOSCOPE BLADE CCW TELEFLEX 1402422

    Patients

    Seq Age Sex Outcome Treatment
    1