FDA Adverse Event
Other
Summary report: N
BAUMANN DISPOSABLE LARYNGOSCOPE W/MAC BLADE
MDR report key: 52399
·
Received November 25, 1996
Report
- Report Number
- 2242551-1996-00015
- Event Type
- Other
- Date Received
- November 25, 1996
- Date of Event
- November 1, 1996
- Report Date
- November 1, 1996
- Manufacturer
- VITAL SIGNS, INC.
- Product Code
- CCW
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DURING INTUBATION ATTEMPT THE LARYNGOSCOPE BLADE BROKE AT THE MIDPOINT. PT SUFFERED LACERATIONS OF TONGUE AND INSIDE OF CHEEK. PT WAS RESUSCITATED FOLLOWING A BLIND INTUBATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BAUMANN DISPOSABLE LARYNGOSCOPE W/MAC BLADE | LARYNGOSCOPE | CCW | VITAL SIGNS, INC. | NA | 1254 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Other |