It was reported that the d-blade was used for emergency intubation on itu.Sudden blackout of monitor attributed to misconnection at cable connection to d-blade.On inspection female component of connection is corroded.Team reverted to normal mackintosh laryngoscope blade for intubation.Patient condition post-op: patient was critically unwell and had period of cardiac arrest after intubation requiring chest compressions.Causation by storz screen blackout is not likely in this incident, stated in the "product complaint event details form".No death or (unanticipated) serious deterioration in state of health reported.According to the ifu, the devices must be checked before and after each use, e.G., for rust and corrosion.If anything is found, they should no longer be used.Although it was stated that "causation by storz screen blackout is not likely in this incident", because of the patient condition after intubation the case is deemed reportable.
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The product was returned on 2024-05-13.The investigation of the product was completed on 2024-06-07.The investigation confirmed customer's description.The blade is in very poor condition.It is heavily worn.As also mentioned in the ifu, the device should have been checked before use.And in this case, it should have been removed and not used.Internal karl storz reference number: (b)(4).
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