inforMED
MalfunctionBTS

SHILEY

Received Apr 28, 2026

Report 8020889-2026-00124 · MDR key 25023485

Device

Generic name

Tube, Bronchial (w/wo Connector)

Model number

125039

Catalog number

125039

Lot number

202504247X

Product problems

  • Use of Device Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

D10 CONCOMITANT PRODUCT: 125039, 125039 39FR LT BRONCO CATH PU CUFF X1, LOT#202504247X. 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. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

IT WAS REPORTED THAT THE BRONCO CATHETER HAD A CUFF INFLATION/DEFLATION ISSUE. THERE WAS NO PATIENT INVOLVED.