Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/24/2021
Event Type
malfunction
Event Description
During an urgent trach tube exchange, the clinician placed a 3.0 bivona tts flextend trach and discovered the cuff was defective and not holding water.Subsequently, a 3.0 bivona tts (non-flextend) was placed and also had a defective cuff, and was not holding water.This is 2 out of 3 reference for (b)(4) for related complaints and attachments.Second trach that was attempted to be inserted had a defective cuff and was not holding air.No patient serious injury was reported.