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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: VERATHON MEDICAL ULC GLIDESCOPE VIDEO BATON 2.0 LARGE; LARYNGOSCOPE, RIGID

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VERATHON MEDICAL ULC GLIDESCOPE VIDEO BATON 2.0 LARGE; LARYNGOSCOPE, RIGID Back to Search Results
Model Number 0570-0382
Medical Device Problem Codes Erratic or Intermittent Display (1182); Display or Visual Feedback Problem (1184)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/10/2025
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported that during a patient procedure, using a glidescope video baton 2.0 large, the video on the connected glidescope core 10-inch monitor intermittently fails, displaying a disconnected message before returning with a split, fuzzy image.The customer further reported that it is necessary to wiggle or apply pressure to the glidescope core smart cable during use to restore the video display.No delay in the procedure, use of a backup device, or harm to the patient was reported.
 
Additional Manufacturer Narrative
Upon review of the device history for the video baton serial number (b)(6), it was determined that the device was manufactured on november 25, 2021, and is past the two (2) year expected product life as outlined in the glidescope operations and maintenance manual (omm).Since the device was not returned to verathon for evaluation at this time, the cause of the reported issue is unknown; however, it is likely that the age of the device, four (4) years, may have caused or contributed to the event.The device return is anticipated, however; at the time of the report the device has not been received by verathon.Verathon continues to investigate the reported event and a supplemental report will be submitted in accordance with 21 cfr 803.56 when additional information becomes available.
 
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Brand Name
GLIDESCOPE VIDEO BATON 2.0 LARGE
Common Device Name
LARYNGOSCOPE, RIGID
Manufacturer (Section D)
VERATHON MEDICAL ULC
2227 douglas road
burnaby, british columbia V5C5A 9
CA  V5C5A9
Manufacturer (Section G)
VERATHON MEDICAL ULC
2227 douglas road
burnaby, british columbia V5C5A 9
CA   V5C5A9
Manufacturer Contact
corey kasbohm
20001 n creek pkwy
bothell, WA 98011-8218
4256295760
MDR Report Key24560390
Report Number9615393-2026-00026
Device Sequence Number21047850
Product Code CCW
UDI-Device Identifier00879123006561
UDI-Public(01)00879123006561(11)211125
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
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) 03/10/2026
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 Number0570-0382
Device Catalogue Number0570-0398
Device Lot NumberN/A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/12/2026
Initial Report FDA Received Date03/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/25/2021
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 Number1
Patient SexUnknown
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