inforMED
MalfunctionBTS

SHILEY

Received Jun 24, 2026 · Event occurred Jun 9, 2026

Report 8020889-2026-00192 · MDR key 25604457

Device

Generic name

Tube, Bronchial (w/wo Connector)

Model number

126035

Catalog number

126035

Lot number

202411085X

Product problems

  • Use of Device Problem

Patient

NA · Unknown

  • Insufficient Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT WHEN THE ENDOBRONCHIAL TUBE'S TRACHEAL BALLOON WAS INFLATED, BUT IT DID NOT FULLY DEFLATE AT THE PROXIMAL LEVEL OF THE PATIENT. THERE WAS NO REPORTED PATIENT OUTCOME.

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.