FDA Adverse Event Malfunction Summary report: N

TENAX

MDR report key: 19855996 · Received July 29, 2024

Report

Report Number
3005803389-2024-00002
Event Type
Malfunction
Date Received
July 29, 2024
Date of Event
October 12, 2023
Report Date
July 26, 2024
Manufacturer
BRYAN MEDICAL, INC
Product Code
BTR
PMA / PMN Number
K150951
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

PROBLEM AS REPORTED ON MEDWATCH REPORT (B)(4). PRIOR TO OUR CASE, WE TESTED MULTIPLE ANESTHESIA LASER TUBES, AND THEY WERE NOT WORKING PROPERLY, THE DISTAL NOT INFLATING ON ONE AND THE PROXIMAL NOT INFLATING ON THE OTHER, THE CUFF WAS NOT INFLATING PROPERLY. WE DID FURTHER DIVE AND NOTICED THE LOT NUMBER ON THE BOX IS NOT THE SAME AS THE LOT ON THE ACTUAL PACKAGE, THIS IS REGARDING THE TENAX LASER RESISTANT ENDOTRACHEAL TUBE KIT. HOWEVER, ONE OF THE TUBES DID WORK BUT IT STILL HAD THE SAME LOT NUMBER AS THE ONES NOT WORKING. WHILE THE INCIDENT OCCURED IN OCT 2023, IS WAS NOT REPORTED TO BRYAN MEDICAL UNTIL JUL 2024. AT THIS TIME THE TWO DEVICES WERE RETURNED FOR INVESTIGATION. IT WAS FOUND THAT DEVICE 1 INFLATED CORRECTLY AFTER FOLLOWING INSTRUCTIONS INCLUDED IN THE GUIDE TO APPROPRIATE USE. DEVICE 1 PERFORM AS INTENDED, CONCLUDING THAT A NONCONFORMANCE IS NOT VALID. DEVICE 2 WOULD NOT INFLATE, EVEN AFTER FOLLOWING THE GUIDE TO APPROPRIATE USE. IT WAS NOTED THAT THE DEVICE WAS RETAINED BY THE HOSPITAL FOR APPROXIMATELY 9 MONTHS AND THE PILOT BALLON STILL CONTAINED FLUID UPON RECEIPT. THE CELLULOSE STRIP THAT CONTAINS THE BLUE DYE HAD COMPLETELY BROKEN DOWN AND WAS FLOATING AROUND WITHIN THE PILOT BALLOON AND INFLATION LINES IN MANY SMALL PIECES. THIS WAS VISIBLY OCCLUDING THE INFLATION LINES. GIVEN THAT THE CELLULOSE STRIP HAD BEEN IN CONTACT WITH FLUID FOR APPROXIMATELY 9 MONTHS BEFORE BEING RETURNED FOR EVALUATION, VALIDITY OF THE COMPLAINT AND ROOT CAUSE FOR FAILURE OF THE CUFF INFLATE COULD NOT BE DETERMINED. ADDITIONALLY, THE TENAX LASER RESISTANT TUBE COMES IN A CONVENINCE KIT CONSISTING OF TWO PRODUCTS PACKAGED TOGETHER. ONCE THE ITEMS ARE KITTED A LOT NUMBER IS ISSUED FOR THE KIT WHICH WOULD NOT BE THE SAME AS THE LOT NUMBER FOR THE INDIVIDUAL DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1015697 TENAX DILATION CATHETER BTR BRYAN MEDICAL, INC TG0060-S 1206320C

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown