BEUDAMED
    FDA Adverse Event Other Summary report: N

    LTA 360 DEGREE KIT WITH LIDOCAINE HCL TOPICAL SOLUTION, USP, 4%

    MDR report key: 1766945 · Received July 19, 2010

    Report

    Report Number
    MW5016787
    Event Type
    Other
    Date Received
    July 19, 2010
    Manufacturer
    HOSPIRA, INC.
    Product Code
    CCT
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING ATTEMPTED INTUBATION IN THE OPERATING ROOM, AN LTA 360 KIT'S CATHETER INJECTOR (LIDOCAINE HCI 4% TOPICAL SOLUTION FOR LARYNGOTRACHEAL ANESTHESIA) BROKE IN THE TRACHEA DURING ADMINISTRATION OF THE LOCAL ANESTHESIA. DURING DIRECT LARYNGOSCOPY, APPROXIMATELY 2.5 INCHES OF CATHETER WAS IDENTIFIED IN THE TRACHEA AT THE LEVEL OF THE CARINA. ENT WAS CONTACTED EMERGENTLY AND A RIGID DIRECT BRONCHOSCOPY WAS PERFORMED TO RETRIEVE THE CATHETER, THE PT'S SATURATION DECREASED BRIEFLY TO THE 70'S DURING THE ASSESSMENT AND RETRIEVAL PROCESS. THE CATHETER INJECTOR WAS DEFECTIVE. HOSPIRA ONE/NDC (B)(4), LOT# 66/475-R1, EXP. 1JUN2010. THE PT'S SATURATION DECREASED BRIEFLY TO THE 70'S DURING THE ASSESSMENT AND RETRIEVAL PROCESS. THE PT WAS INTUBATED AND SURGERY PROCEEDED UNEVENTFULLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LTA 360 DEGREE KIT WITH LIDOCAINE HCL TOPICAL SOLUTION, USP, 4% NONE CCT HOSPIRA, INC. 66/475-R1

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK