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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TELEFLEX MEDICAL HUDSON HUMID-VENT 2S FLEX,CLEAN; CONDENSER, HEAT AND MOISTURE (

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TELEFLEX MEDICAL HUDSON HUMID-VENT 2S FLEX,CLEAN; CONDENSER, HEAT AND MOISTURE ( Back to Search Results
Catalog Number 17732
Device Problem Material Split, Cut or Torn (4008)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 08/08/2018
Event Type  malfunction  
Manufacturer Narrative
(b)(4).It is unknown whether the device is available for evaluation at this time.Teleflex has requested this information.Customer submitted photos for review.The investigation of this complaint is still in progress at the time of this initial report.
 
Event Description
Customer complaint alleges the device developed a "laceration" across the plastic between the hard plastic end connecting to the endotracheal tube and the beginning of the softer plastic ridges".Alleged defect reported detected during use.There was no report of patient impact or consequence.
 
Manufacturer Narrative
(b)(4).The sample was not returned for evaluation; however, the customer did provide a picture.Based on the review of the photo, the product tubing was torn.This may happen during mishandling of the product during use.At the manufacturing site, a 100% inspection and leak testing is performed; therefore, any defects would be detected prior to release.Without the device to evaluate the complaint could not be confirmed and the probable cause could not be determined from the available information.Teleflex will continue to monitor and trend for reports of this nature.
 
Event Description
Customer complaint alleges the device developed a "laceration" across the plastic between the hard plastic end connecting to the endotracheal tube and the beginning of the softer plastic ridges".Alleged defect reported detected during use.There was no report of patient impact or consequence.
 
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Brand Name
HUDSON HUMID-VENT 2S FLEX,CLEAN
Type of Device
CONDENSER, HEAT AND MOISTURE (
Manufacturer (Section D)
TELEFLEX MEDICAL
perak, west malaysia
MDR Report Key7797235
MDR Text Key117607027
Report Number8040412-2018-00215
Device Sequence Number1
Product Code BYD
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Type of Report Initial,Followup
Report Date 08/08/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number17732
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/08/2018
Initial Date FDA Received08/20/2018
Supplement Dates Manufacturer Received10/05/2018
Supplement Dates FDA Received10/05/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
ENDOTRACHEAL TUBE; ENDOTRACHEAL TUBE; ENDOTRACHEAL TUBE
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