DYND13508

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-07-18 for DYND13508 manufactured by Medline Industries Inc..

Event Text Entries

[114292021] It was reported that the urethral catheter was being used to maintain tracheostomy stoma patency. Reportedly, the device became lodged in the patient's left bronchus and an unidentified procedure was required to remove the urethral catheter. After multiple good-faith attempts, the facility contact was unable or unwilling to provide additional patient, product, or procedural information related to this incident. It was not identified how long the urethral catheter was in use for. It was not identified how the urethral catheter was secured to the tracheostomy stoma. No additional information related to this incident was reported to the manufacturer. No sample was returned to the manufacturer for evaluation. The reported use of the urethral catheter to maintain tracheostomy stoma patency is off-label use. Due to the reported incident, and in an abundance of caution, this medwatch is being filed. If additional relevant information becomes available a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[114292022] It was reported that the urethral catheter was being used to maintain tracheostomy stoma patency. Reportedly, the device became lodged in the patient's left bronchus and an unidentified procedure was required to remove the urethral catheter.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2018-00061
MDR Report Key7697751
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-07-18
Date of Report2018-07-18
Date of Event2018-06-01
Date Mfgr Received2018-06-26
Date Added to Maude2018-07-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactNIGEL VILCHES
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 600932753
Manufacturer CountryUS
Manufacturer Postal600932753
Manufacturer Phone2249311458
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameCATHETER,URETHRAL,REDRUBBER,STERILE,8FR
Product CodeEYB
Date Received2018-07-18
Catalog NumberDYND13508
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 600932753 US 600932753


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-07-18

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