BEUDAMED
    FDA Adverse Event Death Summary report: N

    NORMAL SALINE FLUSH 10ML

    MDR report key: 5366157 · Received January 8, 2016

    Report

    Report Number
    MW5059310
    Event Type
    Death
    Date Received
    January 8, 2016
    Date of Event
    September 22, 2015
    Report Date
    January 8, 2016
    Manufacturer
    BECTON DICKINSON & CO.
    Product Code
    NGT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    2

    Narratives

    Description of Event or Problem · 1

    PATIENT CAME TO OUR OUTPATIENT AREA ON (B)(6) 2015 FOR A BLOOD TRANSFUSION. ON (B)(6) 2015, PATIENT CAME TO OUR ED COMPLAINING OF LEG PAIN, PROBABLE CELLULITIS. LACTATE OF 11, REPEAT OF 10.7. POSITIVE BLOOD CULTURES. DIAGNOSED WITH SEVERE SEPSIS. PATIENT DECLINED AGGRESSIVE THERAPY DUE TO UNDERLYING TERMINAL ILLNESS, REQUESTED COMFORT MEASURES ONLY. PATIENT DIED ON (B)(6) 2015. ON (B)(6) 2015 BLOOD CULTURES DRAWN. ON DAY 1 OF GROWTH, SHOWN TO HAVE GRAM NEGATIVE RODS. PATIENT EXPIRED LATER THAT DAY. ON DAY 3 OF GROWTH, ORGANISM IDENTIFIED AS NON-FERMENTER SPECIES. SENT TO MAYO WHEN TWO OTHER PATIENTS HAD SIMILAR ORGANISMS IN BLOOD. IDENTIFIED BY THEM AS ELIZABETHKINGA MENINGOSEPTICA VIA MASS SPECTROMETRY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    14972 NORMAL SALINE FLUSH 10ML NORMAL SALINE FLUSH 10ML NGT BECTON DICKINSON & CO.
    14973 NORMAL SALINE FLUSH 10ML NORMAL SALINE FLUSH 10ML NGT BECTON DICKINSON & CO.

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Death