inforMED
MalfunctionBTC

PORTEX TUBES BLUSELECT SUCTIONAID

Received Jun 3, 2025 · Event occurred May 1, 2025

Report 3012307300-2025-06534 · MDR key 22135773

Device

Generic name

Bag, Reservoir

Manufacturer

Icu Medical, Inc.

Catalog number

UNKNOWN

Lot number

UNKNOWN

Product problems

  • Material Split, Cut or Torn
  • Material Split, Cut or Torn

Patient

NA · Unknown

  • Hypoxia
  • Hypoxia

Narrative

Additional Manufacturer Narrative

NO PRODUCT WAS RECEIVED; THEREFORE, VISUAL AND FUNCTIONAL TESTING COULD NOT BE PERFORMED. THE REPORTED ISSUE COULD NOT BE CONFIRMED. IF THE PRODUCT IS RETURNED, THE MANUFACTURER WILL REOPEN THIS COMPLAINT FOR FURTHER INVESTIGATION.

Description of Event or Problem

AN EMAIL WAS RECEIVED REGARDING A PORTEX TRACHEOSTOMY, WITH UNKNOWN ITEM AND LOT NUMBER. IT WAS REPORTED THAT THERE WAS A SPLIT SUBGLOTTIC ASPIRATION PORT ON THE TRACHEOSTOMY TUBE. IT WAS THE SECOND OCCURRENCE SPLIT PORTEX BLUSELECT 7.5 SUBGLOTTIC ASPIRATION PORT IN THE PAST WEEK, AT THE SAME HOSPITAL. BOTH WERE PATIENTS IMPORTED FROM OTHER HOSPITALS. ASSOCIATED TRACHEOSTOMY TUBE COMPLAINT ON (B)(4).

Additional Manufacturer Narrative

D3 - MFG ESTABLISHMENT NAME AND H6. CODES: UPDATED. NO PRODUCT OR PHOTOS WERE RETURNED THEREFORE NO DEVICE ANALYSIS COULD BE COMPLETED. A DEVICE HISTORY RECORD (DHR) REVIEW COULD NOT BE PERFORMED AS THE LOT NUMBER WAS UNKNOWN. IF THE PRODUCT IS RETURNED THE MANUFACTURER WILL RE-OPEN THE COMPLAINT FOR FURTHER DEVICE ANALYSIS.