BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RUSCH SAFETY CLEAR MAGIL CUFFED ET TUBE

    MDR report key: 2934803 · Received January 23, 2013

    Report

    Report Number
    8040412-2013-00031
    Event Type
    Malfunction
    Date Received
    January 23, 2013
    Date of Event
    January 4, 2013
    Report Date
    January 4, 2013
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    BTR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    IT IS UNCERTAIN IF THE DEVICE SAMPLE IS AVAILABLE FOR EVALUATION.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: THE ENDOTRACHEAL TUBE WARMED WITHIN THE PT'S MOUTH AND KINKED; CAUSING OCCLUSION OF THE AIRWAY. THE ENDOTRACHEAL TUBE WAS REPLACED AFTER DELIBERATION. NO REPORT OF PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    33211 RUSCH SAFETY CLEAR MAGIL CUFFED ET TUBE ENDOTRACHEAL TUBE BTR TELEFLEX MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1