LMA ATOMIZATION
Received Jun 28, 2022 · Event occurred Jun 10, 2022
Report 14843383 · MDR key 14843383
Device
Generic name
Applicator (laryngo-tracheal), Topical Anesthesia
Manufacturer
Teleflex MedicalCatalog number
MAD700
Lot number
73M2100100
Product problems
- Disconnection
- Improper or Incorrect Procedure or Method
Patient
25915 DA · Male
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
THE ATOMIZATION DEVICE IS DESIGNED TO BE LUER-LOCKED TO A SYRINGE TO ALLOW FOR ADMINISTRATION OF TOPICAL LOCAL ANESTHETIC. IT WAS UNRECOGNIZED THAT THE SYRINGE BECAME DISCONNECTED FROM THE ATTACHED CATHETER. THE SYRINGE WAS REMOVED BUT THE CATHETER PORTION WAS NOT. THE DEVICE WAS NOT INSPECTED UPON REMOVAL. THE PATIENT WAS THEN INTUBATED WITH AN ENDOTRACHEAL TUBE. WE ARE NOT SURE IF THERE WAS ANY DEFECT IN THIS CASE, BUT WE ARE PROVIDING AN ANECDOTAL ACCOUNT. WHEN THE DEVICE WAS RETRIEVED AT A LATER TIME IN THE DAY, AT ANOTHER FACILITY, IT WAS NOT RETAINED FOR INSPECTION.