BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHILEY DESPOSABLE INNER CANNULA

    MDR report key: 334325 · Received May 21, 2001

    Report

    Report Number
    2029387-2001-00056
    Event Type
    Malfunction
    Date Received
    May 21, 2001
    Report Date
    May 18, 2001
    Manufacturer
    MALLINCKRODT, INC.
    Product Code
    BTO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DIC'S HOSPITAL HAS, DO NOT SNAP INTO PATIENT'S TRACH TUBE. TYPE OF DEVICE NOT-KNOWN. ONLY INFORMATION PROVIDED IS THAT IT'S A SIZE 6, CUFFLESS AND USES A DIC.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23719 SHILEY DESPOSABLE INNER CANNULA TRACHEOSTOMY TUBE BTO MALLINCKRODT, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN