BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SILICONE TRACHEOSTOMY TUBE

    MDR report key: 178333 · Received July 22, 1998

    Report

    Report Number
    9611018-1998-00010
    Event Type
    Malfunction
    Date Received
    July 22, 1998
    Report Date
    June 17, 1998
    Manufacturer
    SHERWOOD MEDICAL INDUSTRIES
    Product Code
    BTO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTS, THE WING OF THE ACTUAL SAMPLE WAS BROKEN. NO PT INJURY IS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILICONE TRACHEOSTOMY TUBE TRACHEOSTOMY TUBE BTO SHERWOOD MEDICAL INDUSTRIES NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA