MAUDE Adverse Event Report: MEDTRONIC SOFAMOR DANEK USA, INC McGRATH; LARYNGOSCOPE, RIGID

Model Number	340-000-000
Medical Device Problem Code	No Display/Image (1183)
Health Effect - Clinical Codes	Respiratory Insufficiency (4462); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/14/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that during rapid sequence induction for endotracheal intubation, the video laryngoscope exhibited a software malfunction resulting in a frozen/blocked screen.The device functioned normally during the pre-use check; however, the issue occurred at the time of intubation and was resolved after replacing the battery.A post-procedure test with the same battery reproduced the malfunction.The intubation was successfully completed, and no patient injury was reported.
Additional Manufacturer Narrative
Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.

• Brand Name: McGRATH
• Common Device Name: LARYNGOSCOPE, RIGID
• Manufacturer (Section D): MEDTRONIC SOFAMOR DANEK USA, INC; 4340 swinnea road; memphis,tn
• Manufacturer (Section G): MEDTRONIC SOFAMOR DANEK USA, INC; 4340 swinnea road; memphis,tn
• Manufacturer Contact: mike bocchino ; 8200 coral sea st ne; mounds view, MN 55112--439 ; +1(800)646-4633
• MDR Report Key: 50772486
• Report Number: 3003120897-2026-01562
• Device Sequence Number: 9425006
• Product Code: CCW
• UDI-Device Identifier: 10884521824157
• UDI-Public: (01)10884521824157(17)270807(10)H25072104
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 09/15/2026

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 Number: 340-000-000
• Device Catalogue Number: 340-000-000
• Device Lot Number: H25072104
• 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: 08/21/2026
• Initial Report FDA Received Date: 09/15/2026
• Date Device Manufactured: 08/07/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Age: 65 YR
• Patient Sex: Female