MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-04-27 for LIGHT WAND OROTRACHEAL * manufactured by Vital Signs, Inc.
[448800]
When cleaning up after a case, the anesthesia tech noticed that the tip of the endotracheal light wand was broken off. Chest x-ray was done and read as negative. A bronchoscopy was performed. There was no indication of damaged tissue or foregin body found. The pt was discharged home on the third post-op day.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1038923 |
| MDR Report Key | 713560 |
| Date Received | 2006-04-27 |
| Date of Report | 2006-04-27 |
| Date of Event | 2006-04-09 |
| Date Added to Maude | 2006-05-16 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIGHT WAND OROTRACHEAL |
| Generic Name | LIGHT WAND POWER HANDLE |
| Product Code | EQN |
| Date Received | 2006-04-27 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | 2002-03-07 |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 702630 |
| Manufacturer | VITAL SIGNS, INC |
| Manufacturer Address | * TOTOWA NJ 07512 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-04-27 |