FDA Adverse Event Death Summary report: N

PARKER FLEX TIP ET TUBE 8 FRENCH

MDR report key: 21312809 · Received February 5, 2025

Report

Report Number
MW5165649
Event Type
Death
Date Received
February 5, 2025
Date of Event
January 20, 2025
Report Date
February 2, 2025
Manufacturer
WELL LEAD MEDICAL CO. LTD.
Product Code
BTR
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
NE, US
Reporter Occupation
501
Health Professional
N

Narratives

Description of Event or Problem · 0

PATIENT WAS SAT UP IN BED FOR A CHEST X-RAY. ET TUBE HAD BEEN IN PLACE SINCE (B)(6) 2025. SUDDEN CHANGE IN OXYGENATION AND VENTILATION NOTED. OBVIOUS CUFF LEAK. RN AND RT INJECTED 3 CC OF AIR WITH IMPROVEMENT AND THEN RAPID SOFTENING OF THE PILOT BALLOON. RECURRENCE OF OBVIOUS CUFF LEAK. UNABLE TO MAINTAIN CUFF PRESSURE. TUBE EMERGENTLY REPLACED. AFTER REINTUBATION, CARDIAC DYSFUNCTION WITH LOSS OF PULSE. CODE CALLED. PILOT LINE WAS CUT DURING EXTUBATION AND REINTUBATION. POST PROCEDURE EXAMINATION OF THE BALLOON SHOWED BALLOON PARTIALLY INFLATED. UTILIZING NEEDLE AND SYRINGE STAFF UNABLE TO INFLATE CUFF. PRESSURE TO CUFF ON THE OUTSIDE OF THE CUFF DOES NOT CREATE A LEAK. UNABLE TO TEST PILOT LINE OR INJECTION PORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1159159 PARKER FLEX TIP ET TUBE 8 FRENCH TUBE, TRACHEAL (W/WO CONNECTOR) BTR WELL LEAD MEDICAL CO. LTD.

Patients

Seq Age Sex Outcome Treatment
1 55 YR Male Death