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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ICU MEDICAL, INC PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL; TUBE, TRACHEAL (W/WO CONNECTOR)

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ICU MEDICAL, INC PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL; TUBE, TRACHEAL (W/WO CONNECTOR) Back to Search Results
Catalog Number 100/199/085
Medical Device Problem Code Inflation Problem (1310)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/30/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the ett (endotracheal tube) noted to not inflate upon insertion, ett (endotracheal tube) removed and patient was reintubated without further issue.Theatre intubation under general anaesthesia was being administered or performed.There was delay in therapy.The event did not involve death or serious deterioration of a person.There was no patient harm or adverse event reported.
 
Additional Manufacturer Narrative
Investigation including root cause analysis is in progress.A supplemental mdr will be filed as necessary in accordance with 21 cfr 803.56 when additional information becomes available.
 
Additional Manufacturer Narrative
One used device was received for evaluation.Functional and visual tests were done the reported issue can be duplicated.The probable cause is due to a welding error.The lot history was reviewed; no nonconformities were identified that may have contributed to the reported complaint.
 
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Brand Name
PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL
Common Device Name
TUBE, TRACHEAL (W/WO CONNECTOR)
Manufacturer (Section D)
ICU MEDICAL, INC
ave calidad no. 4, parque
tijuana
MX 
Manufacturer Contact
reed covert
6000 nathan ln n
minneapolis, MN 55442
2247062300
MDR Report Key24462437
Report Number3012307300-2026-01777
Device Sequence Number9410604
Product Code BTR
UDI-Device Identifier15019315022357
UDI-Public(01)15019315022357(17)300523(10)6115113
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K790313
Number of Events Summarized1
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) 04/30/2026
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 Number100/199/085
Device Lot Number6115113
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/16/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/05/2026
Supplement Date Received by Manufacturer04/08/2026
Initial Report FDA Received Date02/26/2026
Supplement Report FDA Received Date04/30/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/09/2025
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)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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