FDA Adverse Event Injury Summary report: N

PORTEX ENDOTRACHEAL TUBES SACETT

MDR report key: 13343081 · Received January 25, 2022

Report

Report Number
3012307300-2022-01600
Event Type
Injury
Date Received
January 25, 2022
Date of Event
December 1, 2021
Report Date
January 25, 2022
Manufacturer
NULL
Product Code
QCX
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN THE CUSTOMER WAS TRYING TO REMOVE THE PRODUCT FROM THE PATIENT, THE CUFF GOT CAUGHT IN THE TRACHEA. THE PRODUCT WAS REMOVED BY MAKING AN INCISION IN THE TRACHEA. NO ADDITIONAL INFORMATION IS AVAILABLE FOR THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
702435 PORTEX ENDOTRACHEAL TUBES SACETT RETROGRADE INTUBATION SET QCX

Patients

Seq Age Sex Outcome Treatment
1 Unknown