FDA Adverse Event Death Summary report: N

NEWPORT HT50 VENTILATOR

MDR report key: 719845 · Received May 19, 2006

Report

Report Number
2023050-2006-00027
Event Type
Death
Date Received
May 19, 2006
Date of Event
April 23, 2006
Report Date
April 24, 2006
Manufacturer
FLIGHT MEDICAL LTD.
Product Code
CBK
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE PT WAS ABLE TO BREATHE ON HIS OWN FOR APPROX 30 MINUTES AT A TIME. AFTER A FAMILY MEMBER CHANGED BREATHING CIRCUIT ON THE VENTILATOR, PT CLAIMED THAT HE WAS NOT GETTING ENOUGH BREATH FROM THE VENTILATOR. THE FAMILY MEMBER DECIDED TO SWITCH PT TO THE OTHER VENTILATOR. AGAIN PT CLAIMED THAT HE WAS NOT GETTING ENOUGH BREATH. AT THAT POINT, FAMILY DISCONNECTED PT FROM THE SECOND VENTILATOR AND STARTED USING A RESUSCITATION BAG TO VENTILATE HIM. THE PT THEN SEEMED FINE FOR AWHILE. HOWEVER, AFTER A FEW MINUTES, THEY NOTICED A LOT OF BLOOD FROM HIS TRACHEOSTOMY. PARAMEDICS WERE CALLED AND THE PT WAS TAKEN TO THE HOSPITAL. HE WAS STABILIZED, BUT DIED EARLY THE NEXT MORNING. IT IS STILL UNKNOWN WHETHER THE VENTILATOR WAS MALFUNCTIONING AND RESULTED IN THE ADVERSE EVENT. (PLEASE ALSO REFER TO MDR REPORT # 2023050-2006-00028 FOR THE SECOND VENTILATOR.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEWPORT HT50 VENTILATOR VENTILATOR CBK FLIGHT MEDICAL LTD. HT50-H1 *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Death