inforMED
MalfunctionOGP

PORTEX MINI-TRACH II - NON SELDINGER KIT

Received May 15, 2018 · Event occurred Apr 15, 2018

Report 3012307300-2018-01420 · MDR key 7514077

Device

Generic name

Cricothyrotomy Kit

Catalog number

100/461/000

Product problems

  • Bent
  • Bent

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

(B)(6).

Description of Event or Problem

INFORMATION WAS RECEIVED INDICATING THAT DURING USE WITH A PATIENT, A GUIDEWIRE TO A SMITHS MEDICAL PORTEX® MINI-TRACH® II - NON SELDINGER KIT WAS FOUND TO BE BENT. THERE WERE NO REPORTED ADVERSE EFFECTS.

Additional Manufacturer Narrative

THE INVESTIGATION WAS UNABLE TO BE PERFORMED BECAUSE THE GUIDEWIRE WAS NOT RETURNED WITH THE SAMPLE. ADDITIONALLY, A TREND ANALYSIS EVALUATION WAS NOT POSSIBLE BECAUSE THE LOT NUMBER OF THE PRODUCT WAS NOT PROVIDED. THIS INVESTIGATION REVEALED NO INTRINSIC EVIDENCE TO SUGGEST A ROOT CAUSE RELATED TO MANUFACTURING.