MAUDE MDR 9840704

MDR report key
9840704
Report number
9840704
Event key
0
Event type
3
Date of event
2020-02-28
Date received
2020-03-17
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SHILEYTUBE, TRACHEAL (W/WO CONNECTOR)COVIDIEN LLCBTR19A0830JZX/19J1007JZX* *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-170

Event Narratives#

D

Patient 1

PATIENT WAS BEING INTUBATED WITH TAPERGARD SUBGLOTTIC ENDOTRACHEAL TUBES. CUFF DID NOT HOLD AIR, SO PATIENT NEEDED TO BE REINTUBATED. UNCLEAR IF THIS IS AN EQUIPMENT FAILURE OR ANATOMY ISSUE.