BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MALLINCKRODT MEDICAL SATIN-SLIP

    MDR report key: 74958 · Received March 11, 1997

    Report

    Report Number
    74958
    Event Type
    Injury
    Date Received
    March 11, 1997
    Date of Event
    March 3, 1997
    Report Date
    March 7, 1997
    Manufacturer
    MALLINCKRODT, INC.
    Product Code
    BSR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AFTER INTUBATIONS USING INTUBATING STYLET UNABLE TO PASS SUCTION CATHETER. UPON X-RAY AND ENDOSCOPIC EXAM, A PORTION OF THE STYLET SHEATH WAS FOUND IN THE ENDOTRACHEAL TUBE AND BRONCHUS. THE FOREIGN BODY WAS REMOVED DURING THE ENDOSCOPIC EXAMINATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MALLINCKRODT MEDICAL SATIN-SLIP INTUBATING STYLET BSR MALLINCKRODT, INC. SIZE 6 FR NI

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DAY Required Intervention