BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SHERIDAN/HVT CUFFED MURPHY EYE TRACHEAL TUBE

    MDR report key: 3040030 · Received April 3, 2013

    Report

    Report Number
    MW5029615
    Event Type
    Injury
    Date Received
    April 3, 2013
    Date of Event
    March 17, 2013
    Report Date
    March 25, 2013
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    BTR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE PT'S ENDOTRACHEAL TUBE DISCONNECTED FROM IT'S HUB THREE TIMES. THE SAME THING HAPPENED ON ANOTHER PT IN THE SAME WEEK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    135610 SHERIDAN/HVT CUFFED MURPHY EYE TRACHEAL TUBE TRACHEAL TUBE BTR TELEFLEX MEDICAL V5-10314 01H1200169

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Required Intervention