BEUDAMED
    FDA Adverse Event Death Summary report: N

    HOSPIRA, INC.

    MDR report key: 806315 · Received December 19, 2006

    Report

    Report Number
    806315
    Event Type
    Death
    Date Received
    December 19, 2006
    Date of Event
    November 28, 2006
    Report Date
    December 14, 2006
    Manufacturer
    HOSPIRA, INC.
    Product Code
    FPA
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT HAD RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER HOOKED UP TO TUBING WITH CVP MONITORING CAPABILITY. CENTRAL LINE INSERTED IN SURGERY IN 2006. THREE DAYS LATER, PT HAD BEEN AT APPROX 10 DEGREES ELEVATION TO HEAD OF BED. PT HAD ETT AND WAS ON VENTILATOR. CVP READING OBTAINED AND HEAD OF BED ELEVATED. PT SUDDENLY BECAME UNRESPONSIVE. CT HEAD SHOWED MULTIPLE, DIFFUSE AIR EMBOLISM. FAMILY REFUSED HBO AND REQUESTED COMFORT MEASURES ONLY. PT DIED NINE DAYS LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPIRA, INC. BAG OF NORMAL SALINE IV TUBING THAT CAN MONITOR CVP READINGS FPA HOSPIRA, INC. TRANSPAC IV 45-615-FW

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Death