FDA Adverse Event Death Summary report: N

OXYGEN TUBING GREEN

MDR report key: 7227230 · Received January 29, 2018

Report

Report Number
7227230
Event Type
Death
Date Received
January 29, 2018
Date of Event
June 26, 2017
Report Date
August 15, 2017
Manufacturer
SALTER LABS
Product Code
CAT
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
FL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

THE PT WAS BEING ASSISTED TO THE BATHROOM BY HHA, THE HHA BECAME TANGLED IN THE PT'S OXYGEN TUBING AND FELL. THE PT THEN FELL ON TOP OF THE HHA. AFTER THE FALL, THE PT BEGAN TO COMPLAIN OF RIGHT HIP PAIN. AN X-RAY WAS ORDERED THAT SHOWED A RIGHT HIP FRACTURE (AN ACUTE COMMINUTED FRACTURE INVOLVING THE RIGHT INTERTROCHANTERIC / SUBTROCHANTERIC PROXIMAL RIGHT FEMUR WITH VARUS ANGULATION. THE PT'S FAMILY DID NOT WANT TO SEEK ANY TYPE OF AGGRESSIVE TREATMENT. THE PT REMAINED ON ICC (INTENSIVE CRISIS CARE) FOR PAIN MANAGEMENT AND DIED ON (B)(6) 2017.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
68045 OXYGEN TUBING GREEN 25' NASAL CANNULA OXYGEN TUBING CAT SALTER LABS 2025G

Patients

Seq Age Sex Outcome Treatment
1 69 YR Death 2 M6 CYLINDERS | 4 E CYLINDERS | BED WITH HALF RAILS | NEBULIZER WITH NEB KIT | OVER BED TABLE | PRESSURE RELIEF MATTRESS | ROLLATOR. | STANDARD WHEELCHAIR