| Brand Name | PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL |
| Common Device Name | TUBE, TRACHEAL (W/WO CONNECTOR) |
| Manufacturer (Section D) |
| ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V. |
| ave calidad no. 4, parque |
| tijuana |
| MX |
|
| Manufacturer Contact |
|
reed
covert
|
| 6000 nathan lane north |
| minneapolis, MN 55442
|
|
2247062300
|
|
| MDR Report Key | 24202334 |
| Report Number | 3012307300-2026-00647 |
| Device Sequence Number | 17532219 |
| Product Code |
BTR
|
| UDI-Device Identifier | 55019315022324 |
| UDI-Public | (01)55019315022324(17)300711(10)6125772 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | UK |
| PMA/510(K) Number | UNKNOWN |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/15/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 100/199/070 |
| Device Lot Number | 6125772 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/13/2026 |
| Supplement Date Received by Manufacturer | 06/26/2026
|
| Initial Report FDA Received Date | 01/28/2026 |
| Supplement Report FDA Received Date | 07/15/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 07/29/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|