inforMED
MalfunctionCAO

MALLINCKRODT

Received Sep 2, 2015

Report 2936999-2015-00773 · MDR key 5051322

Device

Generic name

Esophageal Tracheal Airway

Manufacturer

Covidien

Model number

5-18541

Catalog number

5-18541

Lot number

12L0688JZX

Product problems

  • Deflation Problem
  • Inflation Problem

Patient

Not reported

  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

(B)(4).

Description of Event or Problem

IT WAS REPORTED THAT PRIOR TO USE, THERE WAS AN INFLATION/DEFLATION ISSUE WITH THE CUFF. THERE IS NO REPORT OF PATIENT INVOLVEMENT AND NO REPORT OF SERIOUS INJURY OR DEATH ASSOCIATED WITH THIS EVENT.

Additional Manufacturer Narrative

(B)(4). THE MANUFACTURING GUIDELINES AND CONTROLS WERE REVIEWED AND FOUND EFFECTIVE TO DETECT THIS TYPE OF FAILURE MODE. THE REPORTED MALFUNCTION IS NOT RELATED TO THE MANUFACTURING PROCESS.