inforMED
MalfunctionBTS

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)

Model number

126037

Catalog 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.