BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 1833182 · Received August 20, 2010

    Report

    Report Number
    1833182
    Event Type
    Malfunction
    Date Received
    August 20, 2010
    Date of Event
    June 17, 2010
    Report Date
    August 20, 2010
    Manufacturer
    TELEFLEX MEDICAL RUSCH
    Product Code
    BTR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US

    Narratives

    Description of Event or Problem · 1

    THE ETT ENDOTRACHEAL TUBE THAT WAS PLACED IN THE FIELD BY EMS EMERGENCY MEDICAL SERVICE WAS APPARENTLY COLLAPSED FROM THE CUFF. CHILD HAD TO BE REINTUBATED.======================HEALTH PROFESSIONAL'S IMPRESSION======================THOUGHT THAT TUBE COLLAPSED DUE TO TUBE'S CUFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * TUBE, TRACHEAL (W/WO CONNECTOR) BTR TELEFLEX MEDICAL RUSCH * *

    Patients

    Seq Age Sex Outcome Treatment
    1 11 YR