BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LO-PRO TRACHEAL TUBE

    MDR report key: 19632 · Received November 29, 1994

    Report

    Report Number
    19632
    Event Type
    Injury
    Date Received
    November 29, 1994
    Date of Event
    November 9, 1994
    Report Date
    November 29, 1994
    Manufacturer
    MALLINCKRODT CRITICAL CARE
    Product Code
    BTR
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PT BEGAN HAVING COPIOUS SECRETIONS AND ET TUBE DISLODGED. ET TUBE WAS NOT ABLE TO BE REPLACED. REMOVED, AND PT RECEIVED OXYGEN VIA MASK. PRIOR TO ET TUBE DISLODGEMENT, PT WAS VENTILATOR DEPENDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LO-PRO TRACHEAL TUBE ENDOTRACHEAL TUBE BTR MALLINCKRODT CRITICAL CARE MJ09420

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Life Threatening