inforMED
InjuryFFY

UNKNOWN

Received Jan 5, 1993 · Event occurred Jan 25, 1992

Report 2137 · MDR key 2137

Device

Generic name

Unknown

Manufacturer

Welch/allen Bulb

Model number

UNKNOWN

Catalog number

UNKNOWN

Lot number

UNKNOWN

Patient

33 YR

Narrative

Description of Event or Problem

THE BULB OF THE STRAIGHT BLADE LARGNPOSCOPE CAME OUT WHILE ATRTEMPTING TO INTUBATE A PATIENTDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: CRITICAL CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: MAYBE. CORRECTIVE ACTIONS: OTHER. THE DEVICE WAS DESTROYED/DISPOSED OF.