BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENDOTRACHEAL TUBE, 3.5

    MDR report key: 10357 · Received December 3, 1993

    Report

    Report Number
    MW1000007
    Event Type
    Injury
    Date Received
    December 3, 1993
    Date of Event
    November 12, 1993
    Report Date
    November 19, 1993
    Manufacturer
    SHERIDAN CATHETER CORP.
    Product Code
    BTR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN ATTEMPTED INTUBATION ON CHILD WITH 3.5 ET TUBE. TUBE SEPARATED FROM ADAPTER WHEN HE TRIED TO REMOVE TUBE AND ADVANCED INTO ESOPHAGUS. ADAPTOR DID NOT FIT SNUGLY INTO TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOTRACHEAL TUBE, 3.5 ENDOTRACHEAL TUBE BTR SHERIDAN CATHETER CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 3 YR Hospitalization