inforMED
MalfunctionBTS

SHILEY

Received Oct 9, 2025 · Event occurred Sep 15, 2025

Report 8020889-2025-00415 · MDR key 23260458

Device

Generic name

Tube, Bronchial (w/wo Connector)

Model number

125037

Catalog number

125037

Lot number

202407080X

Product problems

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

Patient

NA · Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

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.

Description of Event or Problem

IT WAS REPORTED THAT DURING THE INTUBATION PROCEDURE, THE ANESTHESIOLOGIST FOUND THAT THE CANNULA CUFF OF THE BRONCO CATHETER WAS PUNCTURED, COMPROMISING THE DEVICE'S EFFECTIVENESS. THERE WAS NO REPORTED PATIENT OUTCOME.