BEUDAMED
    FDA Adverse Event Death Summary report: N

    BAXTER CARDIO

    MDR report key: 280217 · Received June 1, 2000

    Report

    Report Number
    280217
    Event Type
    Death
    Date Received
    June 1, 2000
    Date of Event
    May 27, 2000
    Report Date
    May 29, 2000
    Manufacturer
    *
    Product Code
    DYG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT HAD A FRACTURED HIP AND REQUIRED A PA LINE FOR HEMODYNAMIC MONITORING. PA LINE INSERTED IN ICCU AND WEDGED X 1. TO OR 1900 AND WEDGED PRIOR TO BEGINNING OR PROCEDURE; PT BEGAN COUGHING UP BRIGHT RED BLOOD; PA LINE IN WEDGE AND WITHDRAWN. PT DIED (DNR) AT 1937. CORONER SIGNED OUT AS A "CARDIORESPIRATORY FAILURE, PERIOPERATIVE COMPLICATION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER CARDIO PA LINE S/G PACE PORT 7.5 DYG * 931-HF75 *

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR Death