FDA Adverse Event Death Summary report: N

NIO ADULT

MDR report key: 21756448 · Received April 2, 2025

Report

Report Number
3008258694-2025-00001
Event Type
Death
Date Received
April 2, 2025
Date of Event
March 18, 2025
Report Date
April 2, 2025
Manufacturer
WAISMED LTD.
Product Code
FMI
UDI-DI
07290008325059
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
WI, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

PATIENT WAS IN CARDIAC ARREST WITH CPR BEING PERFORMED. CREW ARRIVED AND TOOK OVER CPR. IV WAS ATTEMPTED AND FAILED. NIO WAS BROUGHT OUT, SITE LOCATED AND WHEN WE SPUN THE TOP ON THE NIO TO UNLOCK IT, IT WAS TIGHT TO TURN. PRESSURE PLACED WITH DOMINANT HAND, OTHER HAND STABILIZING NIO. NIO DID NOT DEPLOY, SECOND CREWMEMBER ATTEMPTED TO DEPLOY IT AND IT DID NOT WORK. SECOND NIO WAS BROUGHT OUT AND THE SAME THING HAPPENED. TOP WAS TIGHT TO SPIN AND IT DID NOT DEPLOY FOR EITHER THE RN OR AEMT. MANUAL IO WAS PLACED IN THIS PATIENT FIRST ATTEMPT. CPR CONTINUED. PATIENT DIED. ONE OF THE NIO THAT DID NOT DEPLOY WAS BROUGHT BACK TO THE STATION AND IS CURRENTLY BEING SENT BACK WITH THE PROVIDED SHIPPING LABEL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1264386 NIO ADULT INTRAOSSEOUS ACCESS DEVICE FOR ADULTS FMI WAISMED LTD. NIO-A 2440043 07290008325059

Patients

Seq Age Sex Outcome Treatment
1 79 YR Female Death