BEUDAMED
    FDA Adverse Event Death Summary report: N

    ROSS

    MDR report key: 402525 · Received June 26, 2002

    Report

    Report Number
    MW1025420
    Event Type
    Death
    Date Received
    June 26, 2002
    Date of Event
    March 1, 2001
    Report Date
    June 20, 2002
    Manufacturer
    ROSS PRODUCTS DIV. ABBOTT LABORATORIES INC.
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT'S SKIN AND SCLERA TURNED GREEN BEFORE DEATH. URINE INCREASINGLY GREEN 2001 X 5 DAYS. CT DRAINAGE TINGED GREEN, STOOLS GREEN FOR 2 DAYS. PT ON TUBE FEEDINGS FOR 9 DAYS. JEVITY PLUS 20-50 CC/HR. FORMULA CHANGED ON DAY 7 PULMOCARE. FIVE DAYS PRIOR, PNEUMOTHORAX QUESTION OF ILEUS ON DAY 7. QUESTION OF GI OBSTRUCTION 3 DAYS LATER. 2 DAYS EARLIER EXTUBATED. STARTED TPN. AUTOPSY FINDINGS INCLUDE: ACUTE MI, CARDIO RESP FAILURE, POSSIBLE SEPTICEMIA, FATTY LIVER, ISCHEMIC COLITIS WITH MARKED DILATION OF CECUM AND COLON. PERITONEAL CAVITY CONTAINED 600 CC BLUE STAINED FLUID. PLEURAL SURFACE: SMALL AMOUNT ANTHRACOTIC PIGMENT. PT ON AMIODERONE IN 2001 ONE DAY AFTER START OF TUBE FEEDINGS. PT ON SOLUMEDROL. PT COMPLAINED OF SEVERE WEAKNESS 20 DAYS LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ROSS COLORMARK TUBING (BLUE DYE) FPD ROSS PRODUCTS DIV. ABBOTT LABORATORIES INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Death