FDA Adverse Event Malfunction Summary report: N

SAFETY CLR MURPHY CUF ET

MDR report key: 20123353 · Received September 3, 2024

Report

Report Number
8040412-2024-00211
Event Type
Malfunction
Date Received
September 3, 2024
Date of Event
July 16, 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). 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 WAS REPORTED THAT: " 7.0 TELEFLEX CUFFED ETT CAUSE SOFT TISSUE TRAUMA TO THE AIRWAY DUE TO THEIR STIFFNESS. THE CUFFS ARE NOT IDEAL.".

Description of Event or Problem · 0

IT WAS REPORTED THAT: " 7.0 TELEFLEX CUFFED ETT CAUSE SOFT TISSUE TRAUMA TO THE AIRWAY DUE TO THEIR STIFFNESS. THE CUFFS ARE NOT IDEAL."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
699637 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.