FDA Adverse Event
Death
Summary report: N
CORTRACK
MDR report key: 21730009
·
Received March 31, 2025
Report
- Report Number
- MW5168383
- Event Type
- Death
- Date Received
- March 31, 2025
- Date of Event
- December 10, 2024
- Report Date
- March 26, 2025
- Manufacturer
- AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.)
- Product Code
- KNT
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PT ADMITTED FOR A FALL AT HOME RESULTING IN A FRACTURE OF THE DISTAL CLAVICLE W MINIMAL DISPLACEMENT. NGT (NASOGASTRIC TUBE)/ CORTRACK WAS ORDERED THAT RESULTED IN 3-MINUTE CARDIAC ARREST. INJURY TO THE RIGHT MAINSTEM AND THROUGH THE LUNG. ABDOMINAL X-RAY SHOWED FEEDING TUBE WAS LOOPED OVER RIGHT HEMITHORAX CONCERNING FOR TRAUMATIC BRONCHOPLEURAL FISTULA AND POSSIBLE EXTENDING INTO THE PLEURAL SPACE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 912271 | CORTRACK | TUBES, GASTROINTESTINAL (AND ACCESSORIES) | KNT | AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR | Female | Death |