inforMED
MalfunctionBTS

SHILEY

Received Feb 5, 2026 · Event occurred Jan 10, 2026

Report 8020889-2026-00039 · MDR key 24267403

Device

Generic name

Tube, Bronchial (w/wo Connector)

Model number

125037

Catalog number

125037

Lot number

202308108X

Product problems

  • Gas/Air Leak

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DURING USE, THE DOUBLE-LUMEN BRONCHIAL TUBE'S CUFF WAS FOUND TO HAVE A SEVERE AIR LEAK, MAKING BILATERAL LUNG VENTILATION IMPOSSIBLE. FORTUNATELY, VENTILATION ON THE HEALTHY SIDE WAS ADEQUATE, AND THE SURGERY WAS SUCCESSFULLY COMPLETED. THERE WAS NO PATIENT INJURY.

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.