FDA Adverse Event
Summary report: N
CURAPLEX NASOPHARYNGEAL AIRWAY
MDR report key: 11848000
·
Received May 18, 2021
Report
- Report Number
- MW5101415
- Date Received
- May 18, 2021
- Report Date
- May 16, 2021
- Manufacturer
- BOUND TREE MEDICAL, LLC
- Product Code
- BTQ
- Report Source
- Voluntary report
- Reporter Location
- NH, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
A CURAPLEX BRAND NASOPHARYNGEAL AIRWAY MIGRATED INTO THE PATIENT'S NASAL PASSAGE DUE TO A POORLY DESIGNED FLANGE ON THE PROXIMAL END OF THE AIRWAY, DESIGNED TO PREVENT THIS FROM HAPPENING. THE FLANGE IS TOO SMALL, AND THE AIRWAY CAN (AND DID) SLIDE INTO THE NOSE REQUIRING REMOVAL WITH KELLY FORCEPS IN THE EMERGENCY DEPARTMENT. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 737697 | CURAPLEX NASOPHARYNGEAL AIRWAY | AIRWAY, NASOPHARYNGEAL | BTQ | BOUND TREE MEDICAL, LLC | 51156 | 1501518 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |