Model Number IPN915460 |
Device Problem
Break (1069)
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Patient Problem
Obstruction/Occlusion (2422)
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Event Date 08/10/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Qn#: (b)(4).
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Event Description
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It was reported "the anaesthetist [reported] that during tracheal intubation a plastic piece of the device was seen inside the patients mouth.There was no apparent injury caused to the patient.Further investigations conducted to locate the piece.Lungs and oesophagus checked as well as the surrounding area, in case had come out".No patient harm reported.Patient condition reported as "fine".
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Event Description
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It was reported "the anaesthetist [reported] that during tracheal intubation a plastic piece of the device was seen inside the patients mouth.There was no apparent injury caused to the patient.Further investigations conducted to locate the piece.Lungs and oesophagus checked as well as the surrounding area, in case had come out".No patient harm reported.Patient condition reported as "fine".
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Manufacturer Narrative
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Qn# (b)(4).The actual device was not returned; however the customer provided a photo for evaluation.The photo was reviewed and it was found that the light pipe was broken, thus the complaint was confirmed.The device history record for lot code 2104341 was reviewed and no issue that could have contributed to the reported failure was noted.The device was manufactured according to release specification.The manufacturer reports that corrective action has been taken in december 2019 and includes the following: restrict movement of product inside the inner carton to avoid collision of products with each and possibility of breakage of light guide inside the box.Cover all six walls of the inner box with a bubble sheet to absorb unexplained shock during transportation handling.Purpose of this to absorb shock throughout the supply chain from the manufacturing site to hospitals via distribution center dealers.The manufacturer also reports a "design change of light guide for rusch greenlite products and currently project is under design and development phase and project will be close in (b)(6) 2022.".
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Search Alerts/Recalls
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