FDA Adverse Event
Malfunction
Summary report: N
PARKER MEDICAL
MDR report key: 390322
·
Received April 23, 2002
Report
- Report Number
- MW1024806
- Event Type
- Malfunction
- Date Received
- April 23, 2002
- Date of Event
- April 4, 2002
- Report Date
- April 8, 2002
- Manufacturer
- PARKER MEDICAL
- Product Code
- BTR
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
APPROX 3.5 HRS INTO THE CASE A GRADUAL ONSET OF INCREASED EFFORT REQUIRED TO VENTILATE THE PT. AFTER REMOVING THE TUBE A SLIGHT KINK IN THE TUBE WAS NOTED. THERE WAS NO AFFECT TO THE PT. WITHIN THE PAST 6 MONTHS, THIS HAS HAPPENED ONE OTHER TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PARKER MEDICAL | TRACHEAL TUBE | BTR | PARKER MEDICAL | * | 2001 E - 12E |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR |