FDA Adverse Event Malfunction Summary report: N

SAFETY CLR MURPHY CUF ET

MDR report key: 20123319 · Received September 3, 2024

Report

Report Number
8040412-2024-00209
Event Type
Malfunction
Date Received
September 3, 2024
Date of Event
July 12, 2024
Report Date
August 7, 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).

Additional Manufacturer Narrative · 0

QN#(B)(4). COMPLAINT VERIFICATION TESTING COULD NOT BE PERFORMED AS NO SAMPLE WAS PROVIDED FOR ANALYSIS. A DEVICE HISTORY RECORD REVIEW WAS PERFORMED, AND NO RELEVANT FINDINGS WERE IDENTIFIED. THEREFORE, THE POTENTIAL CAUSE OF THIS COMPLAINT COULD NOT BE DETERMINED BASED UPON THE INFORMATION PROVIDED AND WITHOUT A SAMPLE. TELEFLEX WILL CONTINUE TO MONITOR AND TREND FOR REPORTS OF THIS NATURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT: "7.0 ET IS TOO HARD , RIGID, NOT COMPLIANT WITH PT'S TISSUE, INCREASED RISK OF TRAUMA OR BLEEDING IN THE ORAL AIRWAY." THE ISSUE WAS IDENTIFIED PRIOR TO USE. THERE WAS NO PATIENT INVOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT: "7.0 ET IS TOO HARD , RIGID, NOT COMPLIANT WITH PT'S TISSUE, INCREASED RISK OF TRAUMA OR BLEEDING IN THE ORAL AIRWAY." THE ISSUE WAS IDENTIFIED PRIOR TO USE. THERE WAS NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1832988 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