BEUDAMED
    FDA Adverse Event Death Summary report: N

    CORTRAK2 NASOGASTRIC FEEDING TUBE

    MDR report key: 14136058 · Received April 15, 2022

    Report

    Report Number
    MW5109026
    Event Type
    Death
    Date Received
    April 15, 2022
    Date of Event
    March 10, 2022
    Report Date
    April 14, 2022
    Manufacturer
    AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.)
    Product Code
    KNT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    PATIENT WAS SET TO HAVE A DHT PLACED FOR HIS CHEMO AGENT AND NUTRITION. DESPITE THE RN USING THE CORTRAK TO PLACE THE FEEDING TUBE, IT WAS PLACED IN THE RIGHT LUNG. THE RN NOTIFIED THE PROVIDER THAT THE PATIENT STARTED HAVING INCREASING SECRETIONS AND OXYGEN REQUIREMENTS DUE TO DESATURATION. A CXR WAS OBTAINED AND THE PATIENT WAS NOTED TO HAVE A DHT INSERTED INTO THE RIGHT LUNG. THE DHT WAS REMOVED. ANOTHER CXR WAS OBTAINED AND THE PATIENT WAS NOTED TO HAVE A NEWLY DEVELOPED PNEUMOTHORAX. A RIGHT CHEST TUBE WAS OFFERED BUT THE PATIENT REFUSED, SUBSEQUENTLY, AND THEY MADE HIMSELF DNRA-CCA AND DNI. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2640233 CORTRAK2 NASOGASTRIC FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.)

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Male Other| D