FDA Adverse Event Malfunction Summary report: N

SAFETY CLR MURPHY CUF ET

MDR report key: 19870311 · Received July 31, 2024

Report

Report Number
8040412-2024-00179
Event Type
Malfunction
Date Received
July 31, 2024
Date of Event
June 12, 2024
Report Date
July 5, 2024
Manufacturer
TELEFLEX MEDICAL SDN. BHD.
Product Code
BTR
UDI-DI
14026704341426
PMA / PMN Number
K961837
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). COMPLAINT VERIFICATION TESTING COULD NOT BE PERFORMED AS NO SAMPLE WAS RETURNED FOR ANALYSIS. A DEVICE HISTORY RECORD REVIEW WAS PERFORMED, AND NO RELEVANT FINDINGS WERE IDENTIFIED. WITHOUT THE DEVICE TO EVALUATE, THE COMPLAINT COULD NOT BE CONFIRMED, AND THE PROBABLE CAUSE COULD NOT BE DETERMINED FROM THE AVAILABLE INFORMATION. TELEFLEX WILL CONTINUE TO MONITOR AND TREND FOR REPORTS OF THIS NATURE.

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

IT IS REPORTED THAT: "SUBSTITUTE PRODUCT IS TOO LONG SO GLIDESCOPE STYLET DOES NOT REACH THE DISTAL END OF ETT, PRODUCT IS TOO STIFF OF PLASTIC CAUSING TRAMA TO AIRWAYS, PRODUCT'S ETT ADAPTOR EASILY DISCONNECTS, PRODUCT DIFFICULT TO REMOVE FROM PACKAGING WITHOUT CONTAMINATING. THERE WAS NO REPORTED PATIENT HARM." ASSOCIATED COMPLAINTS (B)(4).

Description of Event or Problem · 0

IT IS REPORTED THAT: "SUBSTITUTE PRODUCT IS TOO LONG SO GLIDESCOPE STYLET DOES NOT REACH THE DISTAL END OF ETT, PRODUCT IS TOO STIFF OF PLASTIC CAUSING TRAMA TO AIRWAYS, PRODUCT'S ETT ADAPTOR EASILY DISCONNECTS, PRODUCT DIFFICULT TO REMOVE FROM PACKAGING WITHOUT CONTAMINATING. THERE WAS NO REPORTED PATIENT HARM." ASSOCIATED COMPLAINTS 8040412-2024-00180, AND 8040412-2024-00176.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
913635 SAFETY CLR MURPHY CUF ET TUBE, TRACHEAL (W/WO CONNECTOR BTR TELEFLEX MEDICAL SDN. BHD. 40E23H3765 14026704341426

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown NOT REPORTED| NOT REPORTED