FDA Adverse Event
Malfunction
Summary report: N
TENAX LASER RESISTANT ENDOTRACHEAL TUBE
MDR report key: 15079437
·
Received July 20, 2022
Report
- Report Number
- MW5111040
- Event Type
- Malfunction
- Date Received
- July 20, 2022
- Date of Event
- April 27, 2022
- Report Date
- July 19, 2022
- Manufacturer
- BRYAN MEDICAL, INC.
- Product Code
- BTR
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
INTERVENTION WAS REQUIRED TO DEFLATE ENDOTRACHEAL TUBE CUFFS AND EXTUBATE PATIENT. PATIENT WAS INTUBATED. A LEAK WAS IDENTIFIED. ANESTHESIOLOGIST INSERTED MORE SALINE INTO CUFFS BECAUSE IT WAS LEAKING. AS MORE SALINE WAS INSERTED, THE ENTIRE CIRCUMFERENCE OF THE ENDOTRACHEAL TUBE BEGAN TO FILL WITH AIR/SALINE. THE ANESTHESIOLOGIST WAS UNABLE TO REMOVE THE SALINE SO THE SURGEON AND THE ANESTHESIOLOGIST POKED A HOLE IN THE SIDE OF THE TUBE TO REMOVE THE LIQUID AND EXTUBATE THE PATIENT. REPORT IS BEING MADE OUT OF AN ABUNDANCE OF CAUTION DUE TO SURGICAL INTERVENTION. IT IS NOT BELIEVED THAT DEFECT WOULD HAVE LEAD TO SERIOUS HARM OR DEATH. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 88508 | TENAX LASER RESISTANT ENDOTRACHEAL TUBE | TUBE, TRACHEAL (W/WO CONNECTOR) | BTR | BRYAN MEDICAL, INC. | TG0070 | 1110111D |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |