FDA Adverse Event Death Summary report: N

EMG REINFORCED ENDOTRACHEAL TUBE

MDR report key: 241316 · Received September 17, 1999

Report

Report Number
1045254-1999-00008
Event Type
Death
Date Received
September 17, 1999
Date of Event
May 3, 1999
Report Date
August 23, 1999
Manufacturer
XOMED SURGICAL PRODUCTS, INC.
Product Code
BTR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

LEARNED OF EVENT UPON IN-SERVICE REQUEST AT HOSP. PT UNDERWENT SURGERY FOR PARTIAL TUMOR REMOVAL ON 4/26/1999, AND AGAIN ON 5/3/1999 FOR REMOVAL OF REMAINING PORTION. A XOMED EMG TUBE WAS USED FOR BOTH CASES. THE SURGERY PROGNOSIS WAS UNK, BUT PT WAS STABLE WHEN TRANSFERRED TO ICU. WHEN MOVED, THE ATTENDING ANESTHESIA PROVIDER DID NOT EXTUBATE THE EMG TUBE. INSTEAD, THE MONITORING LEADS WERE REMOVED FROM THE EMG TUBE AND PT WAS SENT TO ICU WITH TUBE IN PLACE. IN ICU, THE PT EXPERIENCED MULTIPLE SEIZURES. RECEIVED INJECTIONS FOR RELAXATION DURING A PERIOD OF 12 HOURS. WHILE THE PT WAS IN A NON-RESPONSIEVE STATE. THE ICU NURSING PERSONNEL HAD DIFFICULTY CLEARING THE EMG TUBE. PT EXPIRED IN THE ICU AROUND MIDNIGHT ON MAY 4TH. THE XOMED TUBE WAS DISCARDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EMG REINFORCED ENDOTRACHEAL TUBE ENDOTRACHEAL TUBE BTR XOMED SURGICAL PRODUCTS, INC. NA 17978500

Patients

Seq Age Sex Outcome Treatment
1 29 YR Death