BEUDAMED
    FDA Adverse Event Death Summary report: N

    BRONCHO - FIBER SCOPE

    MDR report key: 219843 · Received April 8, 1999

    Report

    Report Number
    219843
    Event Type
    Death
    Date Received
    April 8, 1999
    Date of Event
    February 28, 1999
    Report Date
    March 31, 1999
    Manufacturer
    OLYMPUS AMERICA, INC. NATIONAL SERVICE CENTER
    Product Code
    EOQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WHO WAS SEPTIC AND MADE DO NOT RESUSCITATE PRIOR TO EVENT. PT WAS BRONCHOSCOPED TO REMOVE BLOODY SECRETIONS. LUBRICATED BRONCHOSCOPE GOT STUCK IN #8 ENDOTRACHEAL TUBE. BRONCHOSCOPE AND ENDOTRACHEAL TUBE WERE REMOVED. UNSUCCESSFUL REINTUBATION. CRYOCOTHYROIDECTOMY PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BRONCHO - FIBER SCOPE BRONCHOSCOPE EOQ OLYMPUS AMERICA, INC. NATIONAL SERVICE CENTER BFX T20D *

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Death