MAUDE MDR 1869388

MDR report key
1869388
Report number
1018233-2010-00106
Event key
0
Event type
3
Date received
2010-10-01
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
NYCOLE SAYER
Address
8195 INDUSTRIAL BLVD. COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BARD AGENTO ENDOTRACHEAL TUBEC.R. BARD, INC.BTRNA500375UNKR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12010-10-0101. R

Event Narratives#

N

Patient 1

THE SAMPLE WAS DISCARDED BY THE USER FACILITY AND NOT AVAILABLE FOR EVALUATION. A DEVICE HISTORY RECORD REVIEW COULD NOT BE PERFORMED AS THE LOT NUMBER WAS NOT PROVIDED. THE MANUFACTURING PROCESS WAS REVIEWED AND EACH CUFF IS INFLATED AND INSPECTED FOR VISUAL AND FUNCTIONAL CHARACTERISTICS PRIOR TO PRODUCT RELEASE. THE INSTRUCTIONS FOR USE THAT ACCOMPANIES EACH DEVICE INDICATES: VARIOUS BONY ANATOMICAL STRUCTURES (E.G., TEETH AND TURBINATES) WITHIN THE INTUBATION ROUTES OR ANY INTUBATION TOOLS WITH SHARP SURFACES PRESENT A THREAT TO MAINTAINING CUFF INTEGRITY. TAKE CARE TO AVOID DAMAGING THE THIN-WALLED CUFFS DURING INSERTION, WHICH WOULD CREATE THE NEED TO SUBJECT THE PT TO THE TRAUMA OF EXTUBATION AND RE-INTUBATION. IF CUFF IS DAMAGED, THE TUBE SHOULD NOT BE USED. INFLATION OF THE CUFF BY "FEEL" ALONE OR BY USING A MEASURED AMOUNT OF AIR IS NOT RECOMMENDED SINCE RESISTANCE IS AN UNRELIABLE GUIDE DURING INFLATION. INTRACUFF PRESSURE SHOULD BE CLOSELY MONITORED WITH A PRESSURE MEASURING DEVICE. A SUPPLEMENTAL REPORT WILL BE FILED IF ADDITIONAL INFORMATION IS PROVIDED BY THE USER FACILITY. (B)(4).

D

Patient 1

IT WAS REPORTED THAT THE CUFF PREMATURELY DEFLATED WITHIN A FEW HOURS OF PLACEMENT. A NURSE WAS AT THE BEDSIDE WHEN THE EVENT OCCURRED AND PRODUCT WAS REPLACED WITHOUT FURTHER INCIDENT. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT IS NOT YET AVAILABLE.