RUSCH EMERALD FO MILLER BLADE 4 004454400

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2014-03-25 for RUSCH EMERALD FO MILLER BLADE 4 004454400 manufactured by Teleflex.

Event Text Entries

[4654725] The complaint is reported as: the customer alleges that the light on the blade is not working. The issue was detected prior to use.
Patient Sequence No: 1, Text Type: D, B5


[12062093] The device sample was received by the mfr, but the investigation is incomplete at the time of this report.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1044475-2014-00070
MDR Report Key3851607
Report Source06,07
Date Received2014-03-25
Date of Report2014-03-04
Date of Event2014-02-26
Date Mfgr Received2014-03-04
Date Added to Maude2014-06-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMARGIE BURTON, RN, REG AFFAIRS
Manufacturer StreetP.O. BOX 12600
Manufacturer CityRTP NC 27709
Manufacturer CountryUS
Manufacturer Postal27709
Manufacturer Phone9194334965
Manufacturer G1TELEFLEX
Manufacturer Street2917 WECK DR.
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRUSCH EMERALD FO MILLER BLADE 4
Generic NameLARYNGOSCOPE BLADE (FIBEROPTIC)
Product CodeCAL
Date Received2014-03-25
Returned To Mfg2014-03-19
Catalog Number004454400
Lot Number1135
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX
Manufacturer AddressRTP NC 27709 US 27709


Patients

Patient NumberTreatmentOutcomeDate
10 2014-03-25

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