BEUDAMED
    FDA Adverse Event Summary report: N

    ENDOTRACHEAL TUBE INTRODUCER

    MDR report key: 3644440 · Received February 12, 2014

    Report

    Report Number
    1036445-2014-00001
    Date Received
    February 12, 2014
    Date of Event
    November 2, 2013
    Report Date
    January 14, 2014
    Manufacturer
    MEDITEC DEVICES
    Product Code
    BSR
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    BOUGIE WAS USED TO RE-INTUBATE WITHOUT ANY PROBLEMS. LATER, APPROXIMATELY 1 INCH OF BOUGIE TIP WAS SEEN COMING OUT OF THE PT'S ET TUBE/VENTILATOR TUBING. THE BOUGIE TIP WAS REMOVED FROM THE PT'S TUBING WITHOUT INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    92647 ENDOTRACHEAL TUBE INTRODUCER ET TUBE INTRODUCER BSR MEDITEC DEVICES 9-0212-70

    Patients

    Seq Age Sex Outcome Treatment
    1