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