BEUDAMED
    FDA Adverse Event Death Summary report: N

    FLEX TUBE

    MDR report key: 443718 · Received February 20, 2003

    Report

    Report Number
    2183157-2003-00011
    Event Type
    Death
    Date Received
    February 20, 2003
    Date of Event
    January 9, 2003
    Report Date
    February 20, 2003
    Manufacturer
    NELLCOR PURITAN BENNETT, INC.
    Product Code
    BZO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A NPB FLEXTUBE USED IN CONJUNCTION WITH A BI-PAP MACHINE HAD TWIST BETWEEN 180 TO 360 DEGREES CAUSING AN OCCLUSION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLEX TUBE 7" TAPERED FLEX TUBE BZO NELLCOR PURITAN BENNETT, INC. L-6253 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Death 1. RESPIRONICS BI-PAP,| 2. CONCHA HUMIDIFIER HEATER,| 3. LIQUID OXYGEN TANK.