| Brand Name | SAFETY CLR MURPHY CUF ET |
| Common Device Name | TUBE, TRACHEAL (W/WO CONNECTOR |
| Manufacturer (Section D) |
| TELEFLEX MEDICAL SDN. BHD. |
| perak, west malaysia |
|
| Manufacturer (Section G) |
| TELEFLEX MEDICAL SDN. BHD. |
| lot no : pt2577 jalen perusahaan |
| 4 kamunting industrial estate |
| perak, west malaysia 34600 |
|
MY
34600
|
|
| Manufacturer Contact |
|
azhwan
barazenda
|
| 3015 carrington mill blvd |
| morrisville, NC 27560
|
|
| MDR Report Key | 25129109 |
| Report Number | 8040412-2026-00057 |
| Device Sequence Number | 21430189 |
| Product Code |
BTR
|
| UDI-Device Identifier | 14026704341440 |
| UDI-Public | (01)14026704341440(11)251003(17)300930(10)40E25K0508(21) |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CA |
| PMA/510(K) Number | K961837 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,User Facility |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
04/13/2026 |
| 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 | 112082080 |
| Device Lot Number | 40E25K0508 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 04/13/2026 |
| Supplement Date Received by Manufacturer | 05/18/2026
|
| Initial Report FDA Received Date | 05/08/2026 |
| Supplement Report FDA Received Date | 06/11/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Date Device Manufactured | 10/03/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|