BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COVIDIEN KANGAROO 12 FR 43 INCH NGT

    MDR report key: 3855837 · Received May 22, 2014

    Report

    Report Number
    3855837
    Event Type
    Injury
    Date Received
    May 22, 2014
    Date of Event
    March 10, 2014
    Report Date
    April 4, 2014
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2014, A COVIDIEN KANGAROO NASOGASTRIC FEEDING TUBE WAS PLACED. A CXR TO CONFIRM PLACEMENT WAS DONE AND WAS READ BY THE RADIOLOGIST AS TOO FAR TO THE RIGHT, UNDER-PENETRATED AND SUBOPTIMAL. HOWEVER, THE FILM WAS DIGITAL AND THE PRACTITIONER VIEWED THE FILM IN REAL TIME AND THOUGH THE NGT WAS IDENTIFIED ON THE FILM IN THE STOMACH. ON (B)(6) 2013, THE PT WAS GIVEN APPROX 50CC OF TUBE FEEDING IN INCREMENTAL BOLUSES. THE RN CHECKED FOR PLACEMENT WITH AN AIR BOLUS BEFORE INITIATING THE FEED. HOWEVER, SHORTLY AFTER GIVING THE BOLUS, THE PT STARTED GURGLING AND TAN BLOOD TINGED SECRETIONS WERE SUCTIONED. A KUB WAS PERFORMED DUE TO ABDOMINAL DISTENTION AND IT WAS REVEALED THAT THE NGT WAS IN THE RIGHT MAINSTEM BRONCHUS. THE NGT WAS IMMEDIATELY REMOVED CAUSING A PNEUMOTHORAX WHICH REQUIRED CHEST TUBE PLACEMENT. NO FURTHER COMPLICATION WAS NOTED AS A RESULT OF THE PNEUMOTHORAX. ULTIMATELY, THE PT EXPIRED, UNRELATED TO THE PNEUMOTHORAX CAUSED BY THE NGT. MFR REF # 9612030-2014-00021.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    306856 COVIDIEN KANGAROO 12 FR 43 INCH NGT ENTERAL FEEDING TUBE FPD

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Required Intervention