TELEFLEX * 008620100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-06-08 for TELEFLEX * 008620100 manufactured by Rusch, Inc..

Event Text Entries

[634127] The assistant nurse manager put batteries into a small, penlight-sized laryngoscope handle. The handle immediately began to heat up to the point where it became uncomfortable to hold. The handle was never used on a patient, and was immediately quarantined.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number878621
MDR Report Key878621
Date Received2007-06-08
Date of Report2007-06-08
Date of Event2007-05-31
Report Date2007-06-08
Date Reported to FDA2007-06-08
Date Added to Maude2007-07-12
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTELEFLEX
Generic NameLARYNGOSCOPE, HANDLE
Product CodeEQN
Date Received2007-06-08
Returned To Mfg2007-06-08
Model Number*
Catalog Number008620100
Lot Number088238-1OR 082370-1
ID Number*
OperatorNURSE
Device AvailabilityR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key857949
ManufacturerRUSCH, INC.
Manufacturer Address4024 STIRRUP CREEK DRIVE SUITE 720 DURHAM NC 27703 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-06-08

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