FDA Adverse Event
Death
Summary report: N
NEWPORT HT50
MDR report key: 451994
·
Received April 2, 2003
Report
- Report Number
- 2023050-2003-00005
- Event Type
- Death
- Date Received
- April 2, 2003
- Date of Event
- March 3, 2003
- Report Date
- March 4, 2003
- Manufacturer
- NEWPORT MEDICAL INSTRUMENTS, INC.
- Product Code
- CBK
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A PATIENT HAD BEEN DECEASED BY DISCONNECTION OF THE VENTILATOR. A NURSE HAS FOUND THAT PATIENT WHO WAS IN THE HOSPITAL FOR ALS HAS DECEASED WHEN THE NURSE CAME TO CHANGE THE ALIMENTATION LINE. ACCORDING TO THE HOSPITAL THE PATIENT HAS USED TRACHEOTOMY TUBE TO TREAT A VENTILATION AND THE NURSE SAID WHEN THEY CAME TO THE PATIENT ROOM THE NURSE SEEMED THAT THE VENTILATOR HAD BEEN DISCONNECTED. THEY SAY THAT THE ALARM DID NOT BEEP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NEWPORT HT50 | VENTILATOR | CBK | NEWPORT MEDICAL INSTRUMENTS, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | Death |