BEUDAMED
    FDA Adverse Event Death Summary report: N

    AIRE-CUF CARDEN LARYNGOSCOPY TUBE 6.0MM

    MDR report key: 2052946 · Received April 7, 2011

    Report

    Report Number
    MW5020222
    Event Type
    Death
    Date Received
    April 7, 2011
    Date of Event
    June 23, 2009
    Report Date
    April 4, 2011
    Manufacturer
    SMITHS MEDICAL
    Product Code
    BTR
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    OP MICROLARYNGOSCOPY CARDEN TUBE WITH JET VENTILATION USED. PT DEVELOPED BILATERAL TENSION PNEUMOTHORAX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIRE-CUF CARDEN LARYNGOSCOPY TUBE 6.0MM CARDEN LARYNGOSCOPY TUBE BTR SMITHS MEDICAL NA 1002592

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Death