BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BLUE LINE PEDIATRIC TRACHEOSTOMY TUBE

    MDR report key: 81397 · Received April 3, 1997

    Report

    Report Number
    1217052-1997-00017
    Event Type
    Malfunction
    Date Received
    April 3, 1997
    Date of Event
    February 1, 1997
    Manufacturer
    SMITHS INDUSTRIES MEDICAL SYSTEMS, INC.
    Product Code
    BTO
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BLUE LINE PEDIATRIC TRACHEOSTOMY TUBE TRACHEOSTOMY TUBE AND TUBE CUFF BTO SMITHS INDUSTRIES MEDICAL SYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 * VENTILATOR AND VENTILATOR CIRCUIT