A customer reported that during a patient procedure, using a glide scope avl video baton 3-4, there was a short in the cable.As a result, the image went out of focus and blinked in and out.The procedure was completed using a backup glide scope avl video baton 3-4 which was made available in an unspecified time.No delay in the procedure or harm to the patient was reported.
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The customer was provided a replacement glide scope avl video baton 3-4 and the reported glide scope avl video baton 3-4 was returned to verathon for evaluation.A verathon technical service representative (tsr) evaluated the returned video baton and was able to confirm the reported image failure.When connected to known, good, test verathon equipment and the video baton cable manipulated, horizontal green and pink lines appeared.Furthermore, a fluid spot in the image was observed as well as the lens being cracked, shell delaminated, lens cover damage and visible fluid ingress damage.The video baton failed verathon's device functionality testing.Upon review of the device history for the glide scope avl video baton serial number " (b)(6) ," it was determined that the device was manufactured on april 23, 2013 and is past the two (2) year expected product life as outlined in the glidescope video laryngoscopes omm.It is likely that the age of the device, ten (10) years and nine (9) months, may have caused or contributed to the event.The glidescope video laryngoscopes operations and maintenance manual (omm) notes that "before every use, ensure that the instrument is operating correctly and has no sign of damage.Do not use this product if the device appears damaged." verathon followed up with the customer and restated the importance of checking the device before its use in a procedure.Corrective action is not required at this time.Verathon will continue to monitor for trends.
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