BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FLEXI SLIP 6F

    MDR report key: 2023540 · Received March 14, 2011

    Report

    Report Number
    MW5019821
    Event Type
    Malfunction
    Date Received
    March 14, 2011
    Date of Event
    February 24, 2011
    Report Date
    March 14, 2011
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    BSR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PLASTIC SHEATH ON 6F STYLET SHEARED OFF IN THE ETT DURING INTUBATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLEXI SLIP 6F STYLET 6F BSR TELEFLEX MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DA