BEUDAMED
    FDA Adverse Event Death Summary report: N

    RUSCH - ROBERTAZZI

    MDR report key: 297685 · Received September 27, 2000

    Report

    Report Number
    297685
    Event Type
    Death
    Date Received
    September 27, 2000
    Date of Event
    September 11, 2000
    Report Date
    September 14, 2000
    Manufacturer
    RUSCH
    Product Code
    BTQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING A RESPIRATORY ARREST ANESTHESIA ATTEMPTED TO INTUBATE A PT, A NASAL AIRWAY WAS VISUALIZED IN PT'S TRACHEA. AIRWAY WAS REMOVED BY ANESTHESIA. AIRWAY WAS IN NOSTRIL AT 10 AM BUT AT TIME OF RESPIRATORY ARREST (12:22) AIRWAY WAS NOT IN PLACE. PT WAS IN THE ICU ON CARDIAC MONITOR/PULSE OX MONITOR WITH ALARMS SET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RUSCH - ROBERTAZZI NASOPHARYNGEAL AIRWAY BTQ RUSCH REF# 123028 00E03

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Death