inforMED
MalfunctionBTQ

SHILEY

Received Jan 14, 2026 · Event occurred Dec 25, 2025

Report 9681384-2026-00099 · MDR key 24072881

Device

Generic name

Airway, Nasopharyngeal

Model number

8888247031

Catalog number

8888247031

Lot number

22G1008JZX

Product problems

  • Material Integrity Problem

Patient

21 YR · Female

  • No Clinical Signs, Symptoms or Conditions

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 AFTER EXTUBATION, THE PATIENT EXPERIENCED TONGUE FALL-BACK AND A SLIGHT DECREASE IN OXYGEN SATURATION TO 92% AP PROXIMATELY 2-3 MINUTES. A NASOPHARYNGEAL AIRWAY WAS PLACED, BUT THE PACKAGING WAS FOUND TO BE DAMAGED, IT WAS REPLACED WITHOUT ISSUE BUT PROLONGED THE PATIENT'S PERIOD OF HYPOXIA. THE PATIENT'S OXYGEN SATURATION IMPROVED AND RETURNED TO THE WARD SMOOTHLY.