BEUDAMED
    FDA Adverse Event Death Summary report: N

    SALINE FLUSH 10 ML

    MDR report key: 19268034 · Received May 7, 2024

    Report

    Report Number
    MW5154636
    Event Type
    Death
    Date Received
    May 7, 2024
    Date of Event
    October 30, 2023
    Report Date
    May 4, 2024
    Manufacturer
    MEDLINE INDUSTRIES, LP - NORTHFIELD
    Product Code
    NGT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    MY MOM GOT LEGIONELLA BACTERIA WITH PNEUMONIA AND RESPIRATORY FAILURE THEN PASSED AWAY. MEDICAL DEVICE RECALL. REF REPORT: MW5154637.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    773171 SALINE FLUSH 10 ML SALINE, VASCULAR ACCESS FLUSH NGT MEDLINE INDUSTRIES, LP - NORTHFIELD

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Female Death| H