BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DYNAREX 4595 NASOPHARYNGEAL AIRWAY 28FR

    MDR report key: 11870113 · Received May 24, 2021

    Report

    Report Number
    2431014-2021-00002
    Event Type
    Injury
    Date Received
    May 24, 2021
    Date of Event
    April 29, 2021
    Report Date
    May 24, 2021
    Product Code
    BTQ
    UDI-DI
    00840117315419
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    EMS REPORT STATES THAT A SUSPECTED OVERDOSE PATIENT ASPIRATED A 28FR NASOPHARYNGEAL AIRWAY THROUGH THE NOSE. IT IS UNCLEAR WHETHER THE ADVERSE EVENT WAS A CONTRIBUTING FACTOR IN THE PATIENT'S LATER DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    770097 DYNAREX 4595 NASOPHARYNGEAL AIRWAY 28FR NASOPHARYNGEAL AIRWAY BTQ 28FR 39770 00840117315419

    Patients

    Seq Age Sex Outcome Treatment
    1 25 YR Other