MAUDE Adverse Event Report: COVIDIEN MCGRATH MAC

Device Problems No Display/Image (1183); Battery Problem (2885)

Patient Problem No Information (3190)

Event Date 07/11/2015

Event Type  Injury  

Event Description

Using mcgrath to intubate patient with altered loc, who was traumatic head injury.Mcgrath turned on the screen illuminated just as medical personnel were placing mcgrath blade in patient's mouth to visualize structures, the screen went black.Power button pushed again and the screen re-illuminated.Visualization attempted a second time and the screen went black again, as personnel moved hand the screen lit up.The battery was exchanged with new battery between first attempt and second.All equipment checked out on checks in the am at start of shift.

• Brand Name: MCGRATH MAC
• Type of Device: MCGRATH MAC
• Manufacturer (Section D): COVIDIEN
• MDR Report Key: 4960266
• MDR Text Key: 6196884
• Report Number: MW5044992
• Device Sequence Number: 1
• Product Code: CCW
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Nurse
• Type of Report: Initial
• Report Date: 07/28/2015

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 07/28/2015
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Life Threatening
• Patient Age: 54 YR
• Patient Weight: 60