BEUDAMED
    FDA Adverse Event Death Summary report: N

    SEAMLESS

    MDR report key: 61405 · Received January 3, 1997

    Report

    Report Number
    61405
    Event Type
    Death
    Date Received
    January 3, 1997
    Date of Event
    December 5, 1996
    Report Date
    December 7, 1996
    Manufacturer
    DIV. OF PROFESSIONAL MEDICAL PRODUCTS, INC.
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NASOGASTRIC TUBE MISPLACED IN LUNGS. APPROX 50CC OF BARIUM INFUSED INTO LUNGS DURING SMALL BOWEL STUDY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEAMLESS STOMACH TUBE FPD DIV. OF PROFESSIONAL MEDICAL PRODUCTS, INC. 16 FR 410507

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Death