MAUDE Adverse Event Report: VERATHON MEDICAL ULC GLIDESCOPE CORE 2M QUICKCONNECT CABLE; LARYNGOSCOPE, RIGID

Model Number	0800-0682
Medical Device Problem Codes	Erratic or Intermittent Display (1182); Display or Visual Feedback Problem (1184); Poor Quality Image (1408)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/25/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The reported glidescope core 15-inch fhd monitor along with the glidescope core 2m quickconnect (qc) cable were returned to verathon for evaluation.A verathon technical service representative (tsr) evaluated both devices using verathon's device functionality test equipment.The verathon tsr evaluated the returned glidescope core 15-inch fhd monitor but was unable to confirm the reported issue.The tsr confirmed that the glidescope core 15-inch fhd monitor had the current software.The verathon technical service representative then evaluated the glidescope core 2m quickconnect cable.The qc cable failed verathon's device functionality testing by intermittently not providing a video image.The qc cable did pass visual inspection.Upon completion of the evaluation, the glidescope core 15-inch fhd monitor was returned to the cusotmer.The glidescope core 2m quickconnect cable was replaced.No further investigation is required at this time.Corrective action is not required at this time, and verathon will continue to monitor for trends.
Event or Problem Description
A customer reported that during a bronchoscopy procedure, using a verathon glidescope core 15-inch fhd monitor and a glidescope core 2m quickconnect cable, the screen became glitchy with lines appearing across the display obscuring the physician's view of the patient's airway.No harm to the patient was reported, but there was a temporary disruption to the procedure while attempting to troubleshoot and obtain a second unit.

• Brand Name: GLIDESCOPE CORE 2M QUICKCONNECT CABLE
• Common Device Name: LARYNGOSCOPE, RIGID
• Manufacturer (Section D): VERATHON MEDICAL ULC; 2227 douglas road; burnaby, british columbia V5C 5 A9; CA V5C 5A9
• Manufacturer (Section G): VERATHON MEDICAL ULC; 2227 douglas road; burnaby, british columbia V5C 5 A9; CA V5C 5A9
• Manufacturer Contact: corey kasbohm ; 20001 n creek pkwy; bothell, WA 98011-8218 ; 4256295760
• MDR Report Key: 22720782
• Report Number: 9615393-2025-00083
• Device Sequence Number: 21033934
• Product Code: CCW
• UDI-Device Identifier: 00879123006578
• UDI-Public: (01)00879123006578(11)240826(10)17920111
• Combination Product (Y/N): N
• Initial Reporter State: AL
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 08/05/2025

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
• Operator of Device: Health Professional
• Device Model Number: 0800-0682
• Device Catalogue Number: 0600-0843
• Device Lot Number: 17920-1-11
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 07/11/2025
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/10/2025
• Initial Report FDA Received Date: 08/05/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 08/26/2024
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown