inforMED
InjuryEPE

TRACHEOSTOMY CARE BRUSH

Received Jun 22, 1995 · Event occurred May 31, 1995

Report MW1006312 · MDR key 22693

Device

Generic name

Tracheostomy Care Kit

Catalog number

47885

Lot number

4126A

Product problems

  • Break
  • Disconnection
  • Material Separation

Patient

72 YR

  • Surgical procedure

Narrative

Description of Event or Problem

TRACHEOSTOMY CARE BRUSH BROKE AWAY FROM HANDLE AND LODGED IN PROXIMAL RIGHT MAINSTREAM BRONCHUS; IT EXTENDED UP THE TRACHEA TO WITHIN 2 CM OF THE DISTAL TIP OF THE TRACH. THE PT'S WIFE WAS PERFORMING TRACH CARE AT HOME WHEN THIS OCCURRED. THIS BRUSH IS NOT INTENDED FOR USE INSIDE THE TRACHEA.