FDA Adverse Event
Death
Summary report: N
NURSE ASSIST, LLC
MDR report key: 18402522
·
Received December 27, 2023
Report
- Report Number
- 3002695476-2023-00031
- Event Type
- Death
- Date Received
- December 27, 2023
- Date of Event
- September 22, 2023
- Report Date
- December 21, 2023
- Manufacturer
- NURSE ASSIST, LLC
- Product Code
- FRO
- UDI-DI
- 00612479199576
- PMA / PMN Number
- K083042
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
MEDWATCH REPORT MW5149035.
Description of Event or Problem · 0
ON 12-DEC-23, NURSE ASSIST RECEIVED A COMPLAINT VIA E-MAIL FROM FDA MEDWATCH OF THE FOLLOWING EVENT. DESCRIPTION FROM MEDWATCH REPORT: THERE WAS SO MANY TEST DONE ON MY MOTHER, I HAVE ALL OF HER MEDICAL RECORDS. HER ULCER WOUND GOT INFECTED WITH CANDIDA AURIS, WE WOULD WASH THE WOUND DAILY WITH WATER. SHE HAD WHITE SPORES FUNGI GROWTH AROUND THE WOUNDS AND SHE HAD A "CATHETER" AS WELL. THE HOSPITAL SAID THE CANDIDA AURIS GOT INTO HER BLOOD, SHE WENT INTO SEPTIC SHOCK AND DIED. I PURCHASED THE WATER FOR HER. IF I WOULD HAVE KNOWN THERE WAS ANY LIKELY HOOD OF KNOWN "ING", IT WAS NOT STERILE. I WOULD NEVER BROUGHT FOR HER BECAUSE I KNEW WE CANT USE TAP WATER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2291061 | NURSE ASSIST, LLC | 0.9% NORMAL SALINE FOR IRRIGATION USP, IN SCREW TOP BOTTLE | FRO | NURSE ASSIST, LLC | 37-6270 | 22083817 | 00612479199576 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Death |