BEUDAMED
    FDA Adverse Event Death Summary report: N

    CORFLO-ULTRA NG

    MDR report key: 36526 · Received August 26, 1996

    Report

    Report Number
    36526
    Event Type
    Death
    Date Received
    August 26, 1996
    Date of Event
    August 9, 1996
    Report Date
    August 12, 1996
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FEEDING TUBE WAS INSERTED INADVERTANTLY IN PT'S RIGHT LUNG RESULTING IN PNEUMOTHORAX. TUBE WAS REMOVED ABOUT ONE (1) HR LATER AFTER X-RAY VERIFICATION OF PLACEMENT. NO FLUID WAS EVER INTRODUCED INTO THE TUBE. DEVICE IS NEW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORFLO-ULTRA NG ENTERAL FEEDING TUBE FPD CORPAK MEDSYSTEMS, INC. * A 89 KB

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Death