BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1282497-2001-00002

    MDR report key: 314611 · Received February 1, 2001

    Report

    Report Number
    1282497-2001-00002
    Event Type
    Injury
    Date Received
    February 1, 2001
    Date of Event
    October 20, 2000
    Report Date
    January 30, 2001
    Manufacturer
    KENDALL CORP
    Product Code
    KNT
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    THE FOLLOWING WAS REPORTED ON 1/3/2001 BY A MEDWATCH FORM (#1020360), "AT APPROX 1115, THE NURSE INSERTED THE DOBHOFF TUBE WITHOUT RESISTANCE, THE PT WAS CONSCIOUS, NO COUGHING, GAGGING OR SPEECH IMPAIRMENT OCCURRED. AN X-RAY WAS TAKEN TO VERIFY THE PLACEMENT AND THE TUBE HAD PERFORATED THE LUNG." THE CUSTOMER WAS CALLED AND WAS UNABLE TO GIVE ANY FURTHER INFO OF THE INCIDENT OR ABOUT THE PRODUCT CODE, LOT NUMBER OR SAMPLE, OR STATUS ABOUT THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3792 KNT KENDALL CORP

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN