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