BEUDAMED
    FDA Adverse Event Death Summary report: N

    LAERDAL SUCTION UNIT (LSU)

    MDR report key: 619957 · Received July 8, 2005

    Report

    Report Number
    9610483-2005-00022
    Event Type
    Death
    Date Received
    July 8, 2005
    Date of Event
    November 14, 2004
    Report Date
    December 2, 2004
    Manufacturer
    ASMUND S. LAERDAL A/S
    Product Code
    BTA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    EMERGENCY MEDICAL TECHNICIAN

    Narratives

    Description of Event or Problem · 1

    DURING AN INCIDENT IN 04 INVOLVING A PATIENT, THE SUCTION UNIT FAILED TO SUCTION THE PATIENT'S VOMIT. THE INCIDENT DESCIPTION READ: "PATIENT SUSPENDED VF - SHOCKED + PT VOMITED, ATTEMPTED TO SUCTION PATIENT, SUCTION COMPETELY EFFECTIVE. 2ND CREW ARRIVED - THEIR OLD TYPE LSU ALSO USELESS, THEREFORE UNABLE TO SECURE AIRWAY, " THE PATIENT DIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LAERDAL SUCTION UNIT (LSU) PORTABLE SUCTION UNIT BTA ASMUND S. LAERDAL A/S * *

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Death