BEUDAMED
    FDA Adverse Event Death Summary report: N

    HUDSON RCI SHERIDAN / PED-SOFT

    MDR report key: 1576916 · Received January 7, 2010

    Report

    Report Number
    MW5014270
    Event Type
    Death
    Date Received
    January 7, 2010
    Date of Event
    December 25, 2009
    Report Date
    January 7, 2010
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    BTO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    TRACHEA OF PT WAS PERFORATED DURING INTUBATION. THE ENDOTRACHEAL TUBE IS A 2.5 SHERIDAN/PED-SOFT. IT WAS THE OPINION OF THE PATHOLOGIST PERFORMING THE AUTOPSY THAT THE TIP MAY BE TOO SHARP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HUDSON RCI SHERIDAN / PED-SOFT UNCUFFED TRACHEAL TUBE WITH MURPHY EYE BTO TELEFLEX MEDICAL NA

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DA Death