PORTEX TUBES BLUSELECT SUCTIONAID
Received Jan 8, 2026 · Event occurred Dec 17, 2025
Report 3012307300-2026-00232 · MDR key 24014928
Device
Generic name
Bag, Reservoir
Manufacturer
Icu Medical Czech Republic A. SCatalog number
100/870/080CZ
Lot number
6016300
Product problems
- Material Split, Cut or Torn
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.
Description of Event or Problem
IT WAS STATED THAT DURING THE SURGICAL TRACHEOSTOMY PROCEDURE, THE CUFF BALLOON RUPTURED IN TWO CANNULAS SUCCESSIVELY, WITHOUT ANY PERCEPTIBLE CAUSE. THE EVENT WAS DETECTED DURING CLINICAL USE, AND THE CUSTOMER CLASSIFIED THE INCIDENT AS A RUPTURE. THERE WAS NO PATIENT HARM.
Additional Manufacturer Narrative
THREE IMAGES WERE PROVIDED BY THE CUSTOMER SHOWING TWO TRACH TUBES WITH RUPTURED CUFFS. THE COMPLAINT OF CUFF DAMAGE CAN BE CONFIRMED BASED ON THE RETURNED IMAGES. THE PROBABLE CAUSE IS UNKNOWN. WITHOUT THE RETURN OF THE USED SAMPLE, A COMPREHENSIVE FAILURE INVESTIGATION CANNOT BE PERFORMED, AND A CAUSE CANNOT BE DETERMINED. A DEVICE HISTORY REVIEW WAS PERFORMED AND FOUND NO NON-CONFORMANCES.