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)
Manufacturer
Mallinckrodt MedicalModel number
125037Catalog 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.