FDA Adverse Event Malfunction Summary report: N

RUSCH GREENLED HANDLE, MEDIUM

MDR report key: 7416897 · Received April 10, 2018

Report

Report Number
8030121-2018-00040
Event Type
Malfunction
Date Received
April 10, 2018
Date of Event
March 19, 2018
Report Date
March 19, 2018
Manufacturer
TRUPHATEK INTERNATIONAL LTD.
Product Code
CCW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE INVOLVED IN THIS COMPLAINT HAS NOT BEEN RECEIVED BY THE MANUFACTURER AT THE TIME OF THIS REPORT. THE INVESTIGATION INTO THIS COMPLAINT IS STILL IN PROGRESS.

Additional Manufacturer Narrative · 1

QN# (B)(4). THE SAMPLE WAS RETURNED TO THE MANUFACTURER (TRUPHATEK) FOR EVALUATION. THE MANUFACTURER REPORTS THAT THE HANDLE WAS WORKING PROPERLY. NO LIGHTING AND FLICKERING ISSUE WERE OBSERVED, AND THE LIGHT WAS COMPLETELY STABLE. THE COMPLAINT OF FLICKERING COULD NOT BE CONFIRMED. A DEVICE HISTORY RECORD WAS PERFORMED ON THE LOT NUMBER OF THE SAMPLE RECEIVED (170401) AND NO ISSUES WERE FOUND. THE DEVICE WAS MANUFACTURED ACCORDING TO RELEASE SPECIFICATION.

Description of Event or Problem · 1

CUSTOMER COMPLAINT ALLEGES "THE LIGHT FLICKERS." ALLEGED DEFECT REPORTED AS DETECTED PRIOR TO USE ON A PATIENT DURING INSPECTION/FUNCTIONAL TESTING. THERE WAS NO REPORT OF PATIENT INJURY OR CONSEQUENCE.

Description of Event or Problem · 1

CUSTOMER COMPLAINT ALLEGES "THE LIGHT FLICKERS." ALLEGED DEFECT REPORTED AS DETECTED PRIOR TO USE ON A PATIENT DURING INSPECTION/FUNCTIONAL TESTING. THERE WAS NO REPORT OF PATIENT INJURY OR CONSEQUENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
257855 RUSCH GREENLED HANDLE, MEDIUM LARYNGOSCOPE, RIGID CCW TRUPHATEK INTERNATIONAL LTD. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1