BEUDAMED
    FDA Adverse Event Death Summary report: N

    HUDSON RCI GENTLE LICK ETT HOLDER WITH BITE BLOCK

    MDR report key: 14287785 · Received May 5, 2022

    Report

    Report Number
    14287785
    Event Type
    Death
    Date Received
    May 5, 2022
    Date of Event
    April 29, 2022
    Report Date
    May 3, 2022
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    CBH
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    ENDOTRACHEAL TUBE (ETT) HOLDER WAS IN PLACE, RT FOUND THE ETT TUBE MAY HAVE BEEN ALLOWED TO MIGRATE/DISLODGE. THERE ARE REPORTS THAT THIS TUBE HOLDER DOES NOT WORK AS DESIGNED TO SECURE THE ETT TUBES AND PREVENT FROM DISLODGING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1413286 HUDSON RCI GENTLE LICK ETT HOLDER WITH BITE BLOCK DEVICE, FIXATION, TRACHEAL TUBE CBH TELEFLEX MEDICAL IPN914325 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 28105 DA Male Death