BEUDAMED
    FDA Adverse Event Death Summary report: N

    AIRWAY - BASIC TRACHEAL

    MDR report key: 382059 · Received March 11, 2002

    Report

    Report Number
    9681384-2002-00009
    Event Type
    Death
    Date Received
    March 11, 2002
    Date of Event
    January 27, 2002
    Report Date
    March 7, 2002
    Manufacturer
    MMJ. S.A. DE C.V.
    Product Code
    BTR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CALLER STATES AFTER THE PARAMEDIC INTUBATED THE PT THEY ATTEMPTED TO REINFLATE THE CUFF, THE ETT WOULD NOT INFLATE. CALLER STATES THAT THE PT WAS VOMITTING. CALLER STATES THE PT DID EXPIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIRWAY - BASIC TRACHEAL INTER HI-LO TRACH 8.0MM BTR MMJ. S.A. DE C.V. NA M050500

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Death