TIDI *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-12-14 for TIDI * manufactured by Tidi Products.

Event Text Entries

[565503] Tidi saliva ejectors -suction catheter- blue tip came off while suctioning patient, could have fallen into the patient's trachea... Potential foreign body or tracheal obstruction. Product pulled and no longer used here.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1041367
MDR Report Key794951
Date Received2006-12-15
Date of Report2006-12-14
Date of Event2006-10-26
Date Added to Maude2006-12-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTIDI
Generic NameORAL SUCTION TUBE
Product CodeDYN
Date Received2006-12-14
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key782568
ManufacturerTIDI PRODUCTS
Manufacturer Address* NEENAH WI 54956 US


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2006-12-15

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