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 |