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