BEUDAMED
    FDA Adverse Event Other Summary report: N

    DHD ENDOTRACHEAL TUBE HOLDER

    MDR report key: 384346 · Received March 22, 2002

    Report

    Report Number
    1317182-2002-00001
    Event Type
    Other
    Date Received
    March 22, 2002
    Date of Event
    February 8, 2002
    Report Date
    March 21, 2002
    Manufacturer
    DHD HEALTHCARE
    Product Code
    CBH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE THE CLINICIANS WERE TURNING A PT OVER ONTO THEIR SIDE, THE ENDO TRACHEAL TUBE HOLDER BLOCK BECAME DISENGAGED FROM THE FACE BAR, THUS EXTUBATING THE ENDOTHRACHEAL TUBE. THE PT WAS IMMEDIATELY RE-INTUBATED AND THE PT WAS NOT INJURED. THE PT DID NOT EXTUBATE THEMSELVES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DHD ENDOTRACHEAL TUBE HOLDER TRACHEAL TUBE FIXATION DEVICE CBH DHD HEALTHCARE NA 29943

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention