FDA Adverse Event Death Summary report: N

PHARMASEAL THORACENTESIS TRAY

MDR report key: 404 · Received April 16, 1992

Report

Report Number
404
Event Type
Death
Date Received
April 16, 1992
Date of Event
February 29, 1992
Report Date
March 31, 1992
Manufacturer
BAXTER HEALTHCARE CORPORATION-PHARMASEAL DIVISION
Product Code
FSM
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

33 YEAR OLD PATIENT WITH A HISTORY OF CIRRHOSIS, END STAGE LIVER DISEASE, HEPATITIS C, HEPATIC ENCEPHALOPATHY UNDERWENT A LIVER TRANSPLANTATION ON 1/11/92. HIS POST-OPERATIVE COURSE WAS UNSTABLE, MARKED BY COAGULOPATHY, SEPSIS INTERMITTENT HEMODYNAMIC INSTABILITY, PULMONARY EDEMA, PNEUMONIA AND BILATERIAL PLEURAL EFFUSIONS. AT 11:30 A.M. ON 2/29/92 THE PATIENT UNDERWENT A RIGHT THRACENTESIS (USING THE 16 GUAGE 3 INCH THORACENTESIS NEEDLE) TO CHECK THE RIGHT PLEURAL EFFUSION FOR INFECTION. DURING THE PROCEDURE THE PATIENT DEVELOPED HEMOPTYSIS, TENSION PNEUMOTHORAX AND CARDIAC ARREST. BILATERAL CHEST TUBES WERE INSERTED AND A SECOND ARREST WITH WAS TREATED WITH CPR, CARDIAC MEDICATIONS, AND DEFIBRILLATION WITH SUCCESS. BRONCHOSCOPY REVEALED A LARGE CLOT AT THE CARINA. DUE TO THE PROLONGED ARREST, RESUSCITATION EFFORTS WERE DISCONTINUED, AND PATIENT EXPIRED AT 3:00 P.M. ON 2/29/92DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: CRITICAL CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE DISCARDED. THE DEVICE WAS DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PHARMASEAL THORACENTESIS TRAY 4340A FSM BAXTER HEALTHCARE CORPORATION-PHARMASEAL DIVISION HUP269894 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 33 YR Death