BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TIDI

    MDR report key: 794951 · Received December 15, 2006

    Report

    Report Number
    MW1041367
    Event Type
    Injury
    Date Received
    December 15, 2006
    Date of Event
    October 26, 2006
    Report Date
    December 14, 2006
    Manufacturer
    TIDI PRODUCTS
    Product Code
    DYN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    TIDI SALIVA EJECTORS -SUCTION CATHETER- BLUE TIP CAME OFF WHILE SUCTIONING PATIENT, COULD HAVE FALLEN INTO THE PATIENT'S TRACHEA...POTENTIAL FOREIGN BODY OR TRACHEAL OBSTRUCTION. PRODUCT PULLED AND NO LONGER USED HERE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TIDI ORAL SUCTION TUBE DYN TIDI PRODUCTS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Disability