FDA Adverse Event
Malfunction
Summary report: N
E.T. TAPE 11 ENDOTRACH TUBE HOLDER
MDR report key: 20075148
·
Received August 27, 2024
Report
- Report Number
- 20075148
- Event Type
- Malfunction
- Date Received
- August 27, 2024
- Date of Event
- March 14, 2024
- Report Date
- March 26, 2024
- Manufacturer
- B&B MEDICAL TECHNOLOGIES
- Product Code
- CBH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PRODUCT PACKAGE OUTDATE DOES NOT MATCH INSIDE PACKAGE OF PACKAGE OUTDATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 939888 | E.T. TAPE 11 ENDOTRACH TUBE HOLDER | DEVICE, FIXATION, TRACHEAL TUBE | CBH | B&B MEDICAL TECHNOLOGIES | 11010 | 68812 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 123 YR | Unknown |