UNKNOWN
Received Jan 5, 1993 · Event occurred Jan 25, 1992
Report 2137 · MDR key 2137
Device
Generic name
Unknown
Manufacturer
Welch/allen BulbModel number
UNKNOWNCatalog 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.