FDA Adverse Event
Summary report: N
N-PAK
MDR report key: 2502115
·
Received March 9, 2012
Report
- Report Number
- 2502115
- Date Received
- March 9, 2012
- Date of Event
- February 16, 2012
- Report Date
- March 9, 2012
- Manufacturer
- M-PRO
- Product Code
- ENW
- Report Source
- User Facility report
- Reporter Location
- NC, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
NURSE IN ROOM TO PERFORM RSV TEST WITH NASOPHARYNGEAL ASPIRATION KIT. THE TIP OF THE TUBE CAME OFF IN PATIENT'S LEFT NARE WHEN THE BABY WAS CRYING, WHICH RESULTED IN THE TUBING BEING SUCKED IN THE PATIENT'S NOSE. A DOCTOR ATTEMPTED TO GET IT OUT. MULTIPLE ATTEMPTS WERE UNSUCCESSFUL. ANOTHER DOCTOR CALLED INTO RETRIEVE TIP AND WAS SUCCESSFUL. THE TUBE WAS REMOVED INTACT AND THERE WAS NO HARM DONE TO THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | N-PAK | CATHETER, NASOPHARYNGEAL | ENW | M-PRO | * | 042229409 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 5 MO |