MalfunctionFAX
BOUGIE
Received Jun 5, 2014 · Event occurred May 12, 2014
Report MW5036489 · MDR key 3866663
Device
Product problems
- Device Contamination with Chemical or Other Material
Patient
69 YR
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
BOUGIE INTRODUCER TUBE USED FOR INTUBATION. AFTER WAS USED IN THE PATIENT'S MOUTH, APPROX AT THE 27 CM MARK THERE WAS A BROWN MARK THAT CORRESPONDING TO A BROWN MARK IN THE STERILE WRAPPER. THE TUBE WAS PLACED IN THE PATIENT'S MOUTH TO THE 23 CM MARK. NO PATIENT HARM DETECTED. DIAGNOSIS OR REASON FOR USE: ENDOTRACHEAL INTUBATION.