BEUDAMED
    FDA Adverse Event Death Summary report: N

    LEVINE TUBE, 12 FR

    MDR report key: 11862 · Received March 8, 1994

    Report

    Report Number
    MW1000974
    Event Type
    Death
    Date Received
    March 8, 1994
    Date of Event
    February 15, 1994
    Report Date
    March 1, 1994
    Manufacturer
    SEAMLESS DIV. PROFESSIONAL MEDICAL PRODUCTS, INC.
    Product Code
    KNT
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NURSES WERE CALLED TO ROOM AT 5:50 PM AND NOTED RESIDENT IN ACUTE RESPIRATORY DISTRESS. NGT WAS COMPLETELY VISIBLE EXCEPT FOR APPROX 6-8 INCHES REMAINING IN NOSE. PUMP WAS TURNED OFF AND NGT REMOVED BY LICENSED RN. RESIDENT WAS DIAPHORETIC.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LEVINE TUBE, 12 FR KNT SEAMLESS DIV. PROFESSIONAL MEDICAL PRODUCTS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Death