BEUDAMED
    FDA Adverse Event Death Summary report: N

    DOBBHOFF NASOGASTRIC TUBE

    MDR report key: 7665727 · Received July 5, 2018

    Report

    Report Number
    MW5078253
    Event Type
    Death
    Date Received
    July 5, 2018
    Date of Event
    June 22, 2018
    Report Date
    June 29, 2018
    Manufacturer
    COVIDIEN / MEDTRONIC
    Product Code
    KNT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DE, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DOBBHOFF HAD BEEN RECENTLY PLACED AND A CXR TO EVALUATE TUBE PLACEMENT WAS OBTAINED. XRAY CONFIRMED THAT DOBBHOFF WAS IN THE RIGHT LUNG. TUBE REMOVED. REPEAT CXR SHOWED RIGHT SIDED PNEUMOTHORAX. CHEST TUBE PLACED. DURING PROCEDURE, PT BECAME BRADYCARDIC. PT HAD A DNR ORDER AND WAS PRONOUNCED A SHORT TIME LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    507688 DOBBHOFF NASOGASTRIC TUBE TUBES, GASTROINTESTINAL AND ACCESSORIES KNT COVIDIEN / MEDTRONIC

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Death