BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RUSCH RUSCH EQUIPLITE MTL DISP MAC 3

    MDR report key: 4172795 · Received October 10, 2014

    Report

    Report Number
    1044475-2014-00280
    Event Type
    Malfunction
    Date Received
    October 10, 2014
    Date of Event
    September 24, 2014
    Report Date
    September 25, 2014
    Manufacturer
    TELEFLEX
    Product Code
    BTR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    IT IS UNKNOWN IF THE DEVICE SAMPLE IS AVAILABLE FOR EVALUATION.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE LIGHT WENT OUT DURING INTUBATION. NO PATIENT INJURY OR PATIENT CONSEQUENCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    642591 RUSCH RUSCH EQUIPLITE MTL DISP MAC 3 LARYNGOSCOPE BLADE BTR TELEFLEX 1401732

    Patients

    Seq Age Sex Outcome Treatment
    1