FDA Adverse Event Other Summary report: N

SHILEY DISPOSABLE CANNULA LOW PRESSURE CUFFED TRACHEOSTOMY T

MDR report key: 221751 · Received July 23, 1999

Report

Report Number
2029387-1999-00043
Event Type
Other
Date Received
July 23, 1999
Date of Event
February 22, 1999
Report Date
March 8, 1999
Manufacturer
MALLINCKRODT MEDICAL, INC.
Product Code
BTO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THIS IS THE MANUFACTURERS SECOND FOLLOW-UP REPORT TO PROVIDE ADDITIONAL INFO STATUS INVOLVING A PRODUCT ADVISORY REMEDIAL ACTION..

Description of Event or Problem · 1

THE 8 DCT DEVICE WAS RETURNED TO THE MFR ON 3/25/1999 FOR DECONTAMINATION, ANALYSIS AND INVESTIGATION. THE DEVICE EVAL RESULTS ARE RECORDED ON SECTION H. OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SHILEY DISPOSABLE CANNULA LOW PRESSURE CUFFED TRACHEOSTOMY T Implant TRACHEOSTOMY TUBE BTO MALLINCKRODT MEDICAL, INC. 8 DCT UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention