inforMED
MalfunctionBWB

INTRODUCER (BOUGIE)

Received Feb 19, 2010 · Event occurred Jan 10, 2010

Report 1036445-2010-01016 · MDR key 1746145

Device

Generic name

Endotracheal Tube Introducer

Manufacturer

Meditec Devices

Model number

9-0212-70

Catalog number

9-0212-70

Lot number

NA

Product problems

  • Break

Patient

43 YR

  • Extubate

Narrative

Description of Event or Problem

ENDOTRACHEAL TUBE INTRODUCER WAS USED TO EXCHANGE THE ENDOTRACHEAL TUBE THAT WAS PLACED IN PT'S TRACHEA. PT'S AIRWAY WAS DIFFICULT. ONCE PLACED IN THE ENDOTRACHEAL TUBE, THE INTRODUCER BROKE INTO TWO PIECES. ALL CONTENTS OF THE BLUE ENDOTRACHEAL TUBE WERE REMOVED WITH THE ENDOTRACHEAL TUBE UNDER DIRECT LARYNGOSCOPE. ANOTHER BLUE ENDOTRACHEAL TUBE WAS USED WITHOUT DIFFICULTY TO PLACE A NEW ENDOTRACHEAL TUBE.