BEUDAMED
    FDA Adverse Event Other Summary report: N

    BRONCHO-CATH ENDOBRONCHEAL TUBE, LEFT SIDED, 41FR.

    MDR report key: 105501 · Received July 4, 1997

    Report

    Report Number
    9681384-1997-00084
    Event Type
    Other
    Date Received
    July 4, 1997
    Date of Event
    May 8, 1997
    Report Date
    July 4, 1997
    Manufacturer
    MALLINCKRODT MEDICAL, INC.
    Product Code
    CBI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE HOSPITAL REPORTED THAT THE SLEEVES ON THE SWIVEL CONNECTOR WERE NOT THE CORRECT SIZE. UNABLE TO VERIFY SINCE THE REPORT DEVICE HAS NOT BEEN RETURNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BRONCHO-CATH ENDOBRONCHEAL TUBE, LEFT SIDED, 41FR. ENDOBRONCHEAL TUBE, LEFT SIDED, 41FR. CBI MALLINCKRODT MEDICAL, INC. NA MP05480

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other