SHILEY
Received Aug 26, 2025 · Event occurred Jul 25, 2025
Report 8020889-2025-00369 · MDR key 22898831
Device
Generic name
Tube, Bronchial (w/wo Connector)
Manufacturer
Mallinckrodt MedicalModel number
126037Catalog number
126037
Lot number
202307511X
Product problems
- Gas/Air Leak
- Gas/Air Leak
Patient
48 YR · Male
- Unintended Extubation
- Unintended Extubation
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE ANESTHESIOLOGIST INJECTED AIR INTO THE CUFF DURING INTUBATION BUT FOUND NO PRESSURE IN THE CUFF, INDICATING A LEAK. THE TUBE WAS REPLACED, AND THE NEW TUBE FUNCTIONED PROPERLY, ALLOWING THE SURGERY TO PROCEED SMOOTHLY.
Additional Manufacturer Narrative
MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.