BEUDAMED
    FDA Adverse Event Death Summary report: N

    7" VINYL TIP OXYGEN TUBING

    MDR report key: 513729 · Received March 3, 2004

    Report

    Report Number
    1423507-2004-00020
    Event Type
    Death
    Date Received
    March 3, 2004
    Date of Event
    January 31, 2004
    Report Date
    March 3, 2004
    Manufacturer
    CARDINAL HEALTH
    Product Code
    BYX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    ACCOUNT STATES A PT WAS ADMITTED TO THE E.R. FOR SOB. THE PT WAS GIVEN A NEBULIZER TREATMENT AND SOME IV FLUIDS. PT WAS STABLE AND AWAITING A BED ON THE FLOOR. AT SOME POINT WHILE AWAITING A BED, THE OXYGEN TUBING BECAME DISCONNECTED FROM THE NEBULIZER AND SOMEONE THEN ATTACHED THE TUBING FROM THE NEBULIZER INTO THE PT'S IV TUBING, CAUSING AIR TO BE PUSHED INTO THE PT'S VEIN. THE PT WENT INTO RESPIRATORY ARREST AND DIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 7" VINYL TIP OXYGEN TUBING OXYGEN TUBING BYX CARDINAL HEALTH 001301 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *