InjuryCBH
ANCHORFAST
Received Jun 30, 2026 · Event occurred Jun 24, 2026
Report MW5190071 · MDR key 25665698
Device
Patient
14 YR · Female
- Low Oxygen Saturation
- Unspecified Mental, Emotional or Behavioural Problem
- Unintended Extubation
Narrative
Description of Event or Problem
ADDITIONAL INFORMATION RECEIVED FROM THE REPORTER ON 07/06/2026 FOR REPORT #MW5190071 TO REPLACE B5 INFORMATION. PT INTUBATED IN PICU, ON SEDATION INFUSIONS (PROPOFOL, DEXMEDETOMIDINE, FENTANYL). VENTILATOR BEGAN TO ALARM, PT FOUND IN ROOM TO HAVE SELF-EXTUBATED. PROPOFOL & FENTANYL INFUSIONS SHUT OFF. PT WITH GOOD RESPIRATORY DRIVE, HAD DESATURATION TO 87% AND WAS PLACED ON SCOOP MASK. PT WAS RATHER AGITATED BUT ABLE TO SETTLE. WAS RE-STARTED ON DEXMEDETOMIDINE INFUSION. TUBE INVESTIGATED - APPEARS THAT TUBE HOLDER SEPARATED; ETT WAS STILL TAPED TO THE PLASTIC.