FDA Adverse Event Malfunction Summary report: N

HUDSON ET TUBE, CUFFED, SPIRAL-FLEX 8.0MM

MDR report key: 3963669 · Received March 10, 2014

Report

Report Number
3003898360-2014-00133
Event Type
Malfunction
Date Received
March 10, 2014
Date of Event
December 26, 2013
Report Date
February 13, 2014
Manufacturer
TELEFLEX
Product Code
BTR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE SAMPLE WAS RECEIVED BY THE MANUFACTURER, BUT THE INVESTIGATION IS INCOMPLETE AT THE TIME OF THIS REPORT. A DHR (DEVICE HISTORY RECORD) REVIEW COULD NOT BE CONDUCTED SINCE THE LOT NUMBER WAS NOT PROVIDED. A DOCUMENT ASSESSMENT WAS CONDUCTED AND NO CHANGES WERE REQUIRED.

Description of Event or Problem · 1

THE EVENT IS REPORTED AS: THE CUSTOMER ALLEGES THAT IT WAS DIFFICULT TO DEFLATE THE CUFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
143805 HUDSON ET TUBE, CUFFED, SPIRAL-FLEX 8.0MM ENDOTRACHEAL TUBE BTR TELEFLEX

Patients

Seq Age Sex Outcome Treatment
1