FDA Adverse Event Malfunction Summary report: N

BLUE LINE CUFFED ORAL/NASAL ENDOTRACHEAL TUBE

MDR report key: 1012549 · Received February 6, 2008

Report

Report Number
1217052-2008-00006
Event Type
Malfunction
Date Received
February 6, 2008
Date of Event
January 10, 2008
Report Date
January 11, 2008
Manufacturer
SMITHS HEALTHCARE MANUFACTURING S.A. DE C.V./SMITH MEDICAL
Product Code
BTR
Product Problem
Yes
Report Source
Distributor report
Reporter Location
JA
Reporter Occupation
OTHER

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BLUE LINE CUFFED ORAL/NASAL ENDOTRACHEAL TUBE 73 BTR - TUBE, TRACHEAL WITH/WITHOUT CONNECTOR BTR SMITHS HEALTHCARE MANUFACTURING S.A. DE C.V./SMITH MEDICAL * *

Patients

Seq Age Sex Outcome Treatment
1 *