FLEXIBLE INTUBATION VIDEO ENDOSCOPE 111302BDX

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-09-09 for FLEXIBLE INTUBATION VIDEO ENDOSCOPE 111302BDX manufactured by Karl Storz.

Event Text Entries

[25884377] The karl storz flexible intubation video endoscope (part #11302 bdx) has a channel that requires cleaning. According to aami st91 pre-cleaning should begin at the point of use. The ifu for the karl storz product #11302bdx does not include point of use cleaning for the channel, it only discusses cleaning the exterior of the scope. Not having the pre-cleaning step of flushing fluids through the channel can result in the formation of bio-film.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5056160
MDR Report Key5077773
Date Received2015-09-09
Date of Report2015-09-09
Date Added to Maude2015-09-15
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFLEXIBLE INTUBATION VIDEO ENDOSCOPE
Generic NameFLEXIBLE ENDOSCOPE
Product CodeGCQ
Date Received2015-09-09
Model Number111302BDX
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerKARL STORZ
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2015-09-09

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