FDA Adverse Event
Summary report: N
NEOBAR
MDR report key: 2280222
·
Received September 23, 2011
Report
- Report Number
- 2280222
- Date Received
- September 23, 2011
- Date of Event
- September 8, 2011
- Report Date
- September 23, 2011
- Manufacturer
- NEOTECH PRODUCTS, INC.
- Product Code
- CBH
- Report Source
- User Facility report
- Reporter Location
- IA, US
Narratives
Description of Event or Problem · 1
PATIENT WAS INTUBATED WITH A NEOBAR HOLDING ENDOTRACHEAL TUBE (ETT) IN PLACE. RN HAD JUST PLACED A NEW NEOBAR, BUT WITHIN MINUTES THE NEOBAR BECAME UNSTUCK FROM THE FACE AND THE ETT WAS NEARLY LOST. CONTRIBUTING FACTORS MAY HAVE BEEN PATIENT WAS SWEATY AND HAD A LOT OF SECRETIONS. NO PATIENT HARM RESULTED FROM THIS EVENT - WE ARE REPORTING THIS SOLELY BASED ON POTENTIAL FOR PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NEOBAR | DEVICE, FIXATION, TRACHEAL TUBE | CBH | NEOTECH PRODUCTS, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 3 MO |