BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 334450 · Received May 23, 2001

    Report

    Report Number
    334450
    Event Type
    Other
    Date Received
    May 23, 2001
    Date of Event
    May 8, 2001
    Report Date
    May 10, 2001
    Manufacturer
    HILL-ROM
    Product Code
    JOL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT ADMITTED DUE TO SBO. PT HAD AN EXPLORATORY LAP WITH LYSIS OF ADHESIONS. SMALL BOWEL RESECTION ON 05/2001. PT HAD SOME RESPIRATORY DISTRESS POST-OP. EARLY POST-OP PNEUMONIA. 6 DAYS LATER NASOGASTRIC TUBE DRAINING COPIOUS AMOUNTS OF SECRETIONS (GREEN/BROWN "BILE"). WHEN SUCTION CONTAINER HAD APPROX 1000CC'S OF FLUID, IT POPPED OUT OF FITTING NOT ENOUGH TO FALL BUT, ENOUGH TO STOP SUCTIONING. PT ASPIRATED SMALL AMOUNT BEFORE PROBLEM FOUND. NO ADVERSE OUTCOME. TRANSFERRED TO LOWER LEVEL OF CARE THE SAME DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    24283 * * JOL HILL-ROM NONE NONE

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Other