BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WELCH ALLEN LARYNGOSCOPE

    MDR report key: 501710 · Received November 28, 2003

    Report

    Report Number
    MW1030423
    Event Type
    Injury
    Date Received
    November 28, 2003
    Date of Event
    November 12, 2003
    Report Date
    November 28, 2003
    Manufacturer
    WELCH ALLEN
    Product Code
    EQN
    Report Source
    Voluntary report
    Reporter Location
    RI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT REQUESTED RE-INTUBATIIN. TWO LARYNGOSCOPES FOUND TO HAVE DEAD BATTERIES RELATED TO THE EQUIPMENT HANDLES MALFUNCTIONING. PT INTUBATED SUCCESFULLY USING ANOTHER LARYNGOSCOPE TRAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WELCH ALLEN LARYNGOSCOPE LARYNGOSCOPE HANDLES EQN WELCH ALLEN * *

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Required Intervention