NIM CONTACT 8229508

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-12 for NIM CONTACT 8229508 manufactured by Medtronic Xomed, Inc..

Event Text Entries

[94504620]
Patient Sequence No: 1, Text Type: N, H10


[94504621] Patient was brought to the operating room and readied for intubation. Patient was intubated by doctor using the nim contact emg endotracheal tube (ett) size 8 without problem. When the doctor went to inflate the ett cuff, the inflation tubing came off in his hand and he was unable to inflate the cuff. The doctor then utilized an introducer (bougie) and removed the defective ett, and replaced it with another nim contact emg ett size 8. The cuff was easily inflated and the case proceeded without further problem.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7107922
MDR Report Key7107922
Date Received2017-12-12
Date of Report2017-11-02
Date of Event2017-09-28
Report Date2017-11-02
Date Reported to FDA2017-11-02
Date Reported to Mfgr2017-11-02
Date Added to Maude2017-12-12
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNIM CONTACT
Generic NameSTIMULATOR, NERVE
Product CodeBXN
Date Received2017-12-12
Model Number8229508
Catalog Number8229508
Lot Number0210050657
ID NumberM000030B585 A 0079
Device Expiration Date2019-08-25
OperatorPHYSICIAN
Device Availability*
Device Age1 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC XOMED, INC.
Manufacturer Address6743 SOUTHPOINT DR. NORTH JAX FL 32216 US 32216


Patients

Patient NumberTreatmentOutcomeDate
10 2017-12-12

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