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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TELEFLEX MEDICAL ET TUBE, SHER-I-BRONCH, LS, 35 FR; TUBE, TRACHEAL/BRONCHIAL, DIFF

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TELEFLEX MEDICAL ET TUBE, SHER-I-BRONCH, LS, 35 FR; TUBE, TRACHEAL/BRONCHIAL, DIFF Back to Search Results
Catalog Number 5-16035
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/07/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).
 
Event or Problem Description
It was reported that "the doctor found cuff leakage when using on a patient.Changed the second tube; the second tube also had cuff leakage.Changed to a third tube; the third tube also had cuff leakage.Changed to a fourth tube, which was used normally." associated mdrs: 3003898360-2026-00295 and 3003898360-2026-00297.
 
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Brand Name
ET TUBE, SHER-I-BRONCH, LS, 35 FR
Common Device Name
TUBE, TRACHEAL/BRONCHIAL, DIFF
Manufacturer (Section D)
TELEFLEX MEDICAL
morrisville NC
Manufacturer (Section G)
TELEFLEX MEDICAL
rancho el descanso
tecate 21478
MX   21478
Manufacturer Contact
laura guadalupe gonzalez
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key25808373
Report Number3003898360-2026-00323
Device Sequence Number10699934
Product Code CBI
UDI-Device Identifier14026704941169
UDI-Public(01)14026704941169(11)240709(17)280531(10)73G2400114(21)
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K180253
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility,Distributor
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 06/16/2026
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 Number5-16035
Device Lot Number73G2400114
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/16/2026
Initial Report FDA Received Date07/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured07/09/2024
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
Concomitant Medical Products
and Therapy/Usage Dates
NONE REPORTED.
Patient SexUnknown
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