FDA Adverse Event Injury Summary report: N

SHERIDAN

MDR report key: 347690 · Received August 15, 2001

Report

Report Number
347690
Event Type
Injury
Date Received
August 15, 2001
Date of Event
July 4, 2001
Report Date
July 5, 2001
Manufacturer
SHERIDAN CATHETER CORP.
Product Code
BTR
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MN, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

ENDOTRACHEAL TUBE SEPARATED FROM HUB DURING INTUBATION DONE AT BIRTH FOR SUCTIONING OF MECONIUM. TUBE LODGED IN INFANT'S ESOPHAGUS. REQUIRED ADMISSION TO SPECIAL CARE NURSERY & EAR, NOSE & THROAT CONSULT. EAR, NOSE & THROAT DR REMOVED TUBE WITH FORCEPS UNDER DIRECT OBSERVATION WITH LARYNGOSCOPE. INFANT GIVEN CONSCIOUS SEDATION DURING THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
37301 SHERIDAN UNCUFFED TRACHEAL TUBE 3.5 BTR SHERIDAN CATHETER CORP. * 115984

Patients

Seq Age Sex Outcome Treatment
1 0 DAY Hospitalization| R NEOTECH MECONIUM ASPIRATOR.