FDA Adverse Event Other Summary report: N

RUSCH SLICK SET ENDOTRACHEAL TUBE 8.0

MDR report key: 1010246 · Received March 5, 2008

Report

Report Number
MW5005840
Event Type
Other
Date Received
March 5, 2008
Date of Event
February 21, 2008
Report Date
March 5, 2008
Manufacturer
RUSCH, TELEFLEX MEDICAL COMPANY
Product Code
BTR
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON THE ABOVE MENTIONED DATE SLCFD RESCUE 2 RESPONDED TO A TRAUMA CALL AND FOUND THE PT IN CARDIAC ARREST. THE PT WAS INTUBATED AND PLACEMENT CONFIRMED WITH MULTIPLE DEVICES. ON ARRIVAL AT THE ED AND WHILE REASSESSING THE PT, THE CREW NOTED AIR COMING FROM THE PT'S MOUTH. THE RESCUE CREW NOTICED THAT THE PILOT BALLOON WAS DEFLATED AND ATTEMPTED TO ADD 10CC OF AIR AND WAS UNSUCCESSFUL. THE Y NOTIFIED THE ER PHYSICIAN AND THE PT WAS EXTUBATED AND REINTUBATED BY THE ER PHYSICIAN. WHEN THE ET TUBE WAS REMOVED IT WAS FOUND TO HAVE A RUPTURED CUFF. THIS IS THE FIRST REPORTED INCIDENT WITH A RUPTURED CUFF AND WE HAVE BEEN USING THESE PARTICULAR ET TUBES FOR MANY YRS. THE PRODUCT AND PRODUCT PACKAGING IS NOT AVAILABLE FOR INSPECTION DUE TO BIOHAZARD CONTAMINATION. DIAGNOSIS OR REASON FOR USE: PT FOUND IN CARDIOPULMONARY ARREST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RUSCH SLICK SET ENDOTRACHEAL TUBE 8.0 ET TUBE BTR RUSCH, TELEFLEX MEDICAL COMPANY UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 41 YR Other