RUSCH GREEN LITE MILLER 2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-09 for RUSCH GREEN LITE MILLER 2 manufactured by Teleflex.

Event Text Entries

[69963381] Our quality improvement committee received two separate reports of the rusch green life miller #2 or #3 blade's light pipe breaking off the blade with normal use. Luckily the broken piece was recovered from patient's mouth during intubation. Also, the light source occasionally does not work intermittently during laryngoscopy. I have evaluated the blades myself and the mac blade's light pipe seems well seated in the blade, but the miller blade's light pipe does have potential to slip out of the blade and break off with moderate force.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5068401
MDR Report Key6399040
Date Received2017-03-09
Date of Report2017-03-09
Date of Event2017-03-08
Date Added to Maude2017-03-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameRUSCH GREEN LITE
Generic NameRUSCH GREEN LITE
Product CodeEQH
Date Received2017-03-09
Model NumberMILLER 2
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX
Manufacturer Address3015 CARRINGTON MILL BLVD. NC 27560 US 27560

Device Sequence Number: 2

Brand NameRUSCH GREEN LITE
Generic NameRUSCH GREEN LITE
Product CodeEQH
Date Received2017-03-09
Model NumberMILLER 2
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerTELEFLEX
Manufacturer Address3015 CARRINGTON MILL BLVD. NC 27560 US 27560


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-03-09

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