FDA Adverse Event Injury Summary report: N

HEIMLICH CHEST DRAIN VALVE

MDR report key: 162266 · Received April 10, 1998

Report

Report Number
1313807-1998-00002
Event Type
Injury
Date Received
April 10, 1998
Date of Event
February 14, 1998
Report Date
April 9, 1998
Manufacturer
BECTON DICKINSON & CO. BECTON DICKINSON DIV.
Product Code
KDQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT DEVELOPED TENSION PNEUMOTHORAX WHICH RESULTED FROM A CLOGGED HEIMLICH CHEST DRAIN. HOSP REPORT INDICATES THAT VALVE WAS STUCK CLOSED BY FIBROUS MATERIAL WHICH HAD EXUDED FROM PT THROUGH THE CHEST TUBE. THE HEIMLICH VALVE WAS REMOVED AND THE PT WAS CONNECTED TO SUCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEIMLICH CHEST DRAIN VALVE CHEST DRAIN VALVE KDQ BECTON DICKINSON & CO. BECTON DICKINSON DIV. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention