BEUDAMED
    FDA Adverse Event Death Summary report: N

    RUSCH LITE

    MDR report key: 445287 · Received February 25, 2003

    Report

    Report Number
    445287
    Event Type
    Death
    Date Received
    February 25, 2003
    Date of Event
    February 17, 2003
    Report Date
    February 17, 2003
    Manufacturer
    RUSCH
    Product Code
    CCW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ATTEMPTING TO INTUBATE CARDIAC ARREST PT #2 MILLER BLADE HAD AUDIBLE STRUCTURAL CRACKING AND LIGHT FAILED DURING ATTEMPT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RUSCH LITE DISPOSABLE LARYNGOSCOPE BLADE CCW RUSCH 004852200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Death| R