FDA Adverse Event Death Summary report: N

TUBE, GASTROINTESTINAL (AND ACCESS)

MDR report key: 1031844 · Received April 17, 2008

Report

Report Number
2523003-2008-00038
Event Type
Death
Date Received
April 17, 2008
Date of Event
December 28, 2007
Report Date
March 25, 2008
Manufacturer
CR. BARD, INC. (BASD)
Product Code
KNT
PMA / PMN Number
K033562
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. A CHR REVIEW IS NOT POSSIBLE, AS NO MANUFACTURING LOT NUMBER HAS BEEN PROVIDED BY THE COMPLAINANT.

Description of Event or Problem · 1

PREMATURE DEFLATION OF AN INTERNAL BOLSTER. THE INTERNAL BOLSTER REMAINED IN ABDOMINAL CAVITY. THIS INCIDENT WENT UNNOTICED, AND A NUTRITION SOLUTION WAS ADMINISTERED, WHICH RESULTED IN PATIENT'S DEATH BY PERITONITIS. THE INTERNAL BOLSTER WAS FOUND DEFLATED. THE PATIENT WAS IMMOBILE, THEREFORE, IT WAS UNLIKELY THAT THE PATIENT REMOVED THE INTERNAL BOLSTER HIM/HERSELF. THE INCIDENT WAS FOUND 7 DAYS AFTER PLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TUBE, GASTROINTESTINAL (AND ACCESS) KNT CR. BARD, INC. (BASD) UNK

Patients

Seq Age Sex Outcome Treatment
1 Death