FDA Adverse Event Death Summary report: N

CATH OXYGEN CANNULA 10FR

MDR report key: 632322 · Received September 1, 2005

Report

Report Number
1423507-2005-00109
Event Type
Death
Date Received
September 1, 2005
Date of Event
July 1, 2005
Report Date
September 1, 2005
Manufacturer
CARDINAL HEALTH
Product Code
BZB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PER MEDWATCH REPORT RECEIVED, "DOCTOR HAD JUST PLACED NASOPHARYNGEAL CATHETER INTO PT NARES WITH 5 LITERS OF OXYGEN AND PT STATED PAIN IN LEFT CHEST, IMMEDIATELY FOLLOWED BY COMPLAINTS OF ABDOMINAL PAIN. PT THEN BEGAN TO HAVE RESPIRATORY PROBLEMS, FACE BECAME VERY SWOLLEN AND HAD CREPILUS IN CHEST AND DISTENDED ABDOMEN. CODE BLUE WAS CALLED AND PT WAS INTUBATED. WENT TO SURGERY ABOUT AN HOUR LATER FOR SUSPECTED PERFORATION, NONE FOUND."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CATH OXYGEN CANNULA 10FR OXYGEN CATHETER BZB CARDINAL HEALTH K21 Y4D0714

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Death