INFLATABLE TRACHEAL TUBE, CUFF 8199

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-10-26 for INFLATABLE TRACHEAL TUBE, CUFF 8199 manufactured by J. T. Posey Co..

Event Text Entries

[3048970] Customer reported the unit has the needle stuck at the 45 mark. There was no other physical damage reported. There was no patient incident of injury reported.
Patient Sequence No: 1, Text Type: D, B5


[10318520] The reported issue of the needle is stuck at the 45 mark was not confirmed. However, evaluation revealed the needle indicator is set at 24 and pressing the release button has no affect on the needle. The needle was inflated to 120 and holds pressure, but when pressure is released the needle only returned to 114. Therefore no readings could be taken. Note: instructions for use indicates: inspect the unit and check the cuff for leaks prior to use. Prior to intubation or extubation, withdraw all the air from the cuff with a syringe and close the inflation line. The cufflator should be calibrated annually, or if the measurements fall outside of the range, or if the needle does not indicate a pressure reading of zero when nothing is connected, or if the unit is ever dropped. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2020362-2012-00625
MDR Report Key2845220
Report Source05,06
Date Received2012-10-26
Date of Report2012-09-25
Date Mfgr Received2012-10-11
Date Added to Maude2013-02-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMARY SEGURA
Manufacturer Street5635 PECK RD.
Manufacturer CityARCADIA CA 91006
Manufacturer CountryUS
Manufacturer Postal91006
Manufacturer Phone6264433143
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameINFLATABLE TRACHEAL TUBE, CUFF
Product CodeBSK
Date Received2012-10-26
Returned To Mfg2012-10-02
Model Number8199
Catalog Number8199
Lot Number1014679
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerJ. T. POSEY CO.
Manufacturer AddressARCADIA CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2012-10-26

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