BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDLINE DISPOSABLE TUBING, 6FT

    MDR report key: 7582138 · Received June 7, 2018

    Report

    Report Number
    MW5077690
    Event Type
    Injury
    Date Received
    June 7, 2018
    Date of Event
    May 1, 2018
    Report Date
    June 5, 2018
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    BZE
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IN OPENING THE POST ANESTHESIA CAR UNIT FOR OUR DAY'S CASES, WE ATTACH ONE END OF THE DISPOSABLE TUBING TO THE STERILE WATER CONTAINER FOR HUMIDIFICATION AND THE OTHER END TO A PATIENT MASK. WHEN OPENING THE DISPOSABLE TUBING THE ATTACHED DOCUMENT SHOWS THE PIECES OF TUBING FALLING OUT OF THE TUBING ITSELF WHICH MAY HAVE BEEN INHALED BY THE PATIENT UPON COUGHING. THE TUBING WAS IMMEDIATELY DISCARDED AND ALL TUBING IN THE LOT NUMBER INSPECTED FOR ADDITIONAL PIECES - NONE WERE FOUND. A PICTURE WAS TAKEN OF THE TUBING PIECES LAID ON TOP OF THE PAPER IDENTIFICATION FOR THE TUBING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    422860 MEDLINE DISPOSABLE TUBING, 6FT CORRUGATED TUBING, PRESSURE AND ACCESSORIES BZE MEDLINE INDUSTRIES, INC. HSK626 112917N51

    Patients

    Seq Age Sex Outcome Treatment
    1