| 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 |
|
edel
gonzalez
|
| ida business and technology park, dublin rd |
| athlone, NC 27560
|
|
EI
27560
|
|
| MDR Report Key | 25808427 |
| Report Number | 3003898360-2026-00295 |
| Device Sequence Number | 12253508 |
| Product Code |
CBI
|
| UDI-Device Identifier | 14026704941169 |
| UDI-Public | (01)14026704941169(11)240709(17)280531(10)73G2400114 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K180253 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility,Distributor |
| Type of Report
| Initial,Followup |
| 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 Number | 5-16035 |
| Device Lot Number | 73G2400114 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/16/2026 |
| Supplement Date Received by Manufacturer | 07/16/2026
|
| Initial Report FDA Received Date | 07/13/2026 |
| Supplement Report FDA Received Date | 08/12/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Date Device Manufactured | 07/09/2024 |
| 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 Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | NONE REPORTED. |
| Patient Sex | Unknown |
|
|