MCGRATH? MAC ENHANCED DIRECT LARYNGOSCOPE 340-200-000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-07-31 for MCGRATH? MAC ENHANCED DIRECT LARYNGOSCOPE 340-200-000 manufactured by Aircraft Medical Limited.

Event Text Entries

[81467892] This device in this report is product code: ccw, device class: 1 regulation number: (b)(4) (510k exempt).
Patient Sequence No: 1, Text Type: N, H10


[81467893] Medtronic received a report that during patient use, the device powered on, the led on the tip illuminated and the display then went blank a few seconds after powering on. It was stated that the screen showed 111mins while remaining blank. The staff was able to switch the battery on site and the device worked properly after the replacement of the battery. The customer indicated that the battery change caused a delay in the procedure/intubation. It was not specified the amount of time of the delay in the procedure. There was no reported adverse consequence to the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3010244187-2017-05000
MDR Report Key6754999
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-07-31
Date of Report2017-07-10
Date of Event2017-06-13
Date Mfgr Received2017-07-10
Date Added to Maude2017-07-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSHARON MURPHY
Manufacturer Street15 HAMPSHIRE STREET
Manufacturer CityMANSFIELD MA 02048
Manufacturer CountryUS
Manufacturer Postal02048
Manufacturer Phone2034925267
Manufacturer G1AIRCRAFT MEDICAL LIMITED
Manufacturer Street7 CROSS WAY
Manufacturer CityDALGETY BAY,FI KY119JE
Manufacturer CountryGB
Manufacturer Postal CodeKY11 9JE
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMCGRATH? MAC ENHANCED DIRECT LARYNGOSCOPE
Generic NameLARYNGOSCOPE, NON-RIGID
Product CodeCAL
Date Received2017-07-31
Model Number340-200-000
Catalog Number340-200-000
Lot NumberUNKNOWN
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerAIRCRAFT MEDICAL LIMITED
Manufacturer Address7 CROSS WAY DALGETY BAY,FI KY119JE GB KY11 9JE


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-07-31

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