FDA Adverse Event
Injury
Summary report: N
CURAPLEX 36619 NPA KIT
MDR report key: 8217952
·
Received January 4, 2019
Report
- Report Number
- 3004986234-2018-00002
- Event Type
- Injury
- Date Received
- January 4, 2019
- Date of Event
- August 15, 2018
- Report Date
- January 4, 2019
- Manufacturer
- WELL LEAD MEDICAL CO. LTD
- Product Code
- BTQ
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
EMS PROVIDER INSERTED A 26F NPA FROM A CURAPLEX 36619 NPA KIT INTO A PATIENT SUFFERING FROM A HEROIN OVERDOSE. UPON REGAINING CONSCIOUSNESS, THE PATIENT BEGAN SNORTING THE NPA AND THE DEVICE WAS SUCKED INTO THE PATIENT'S NASAL CAVITY CAUSING THE PATIENT TO COMPLAIN HE WAS BEING GAGGED. SUBSEQUENTLY, THE PATIENT WAS TRANSPORTED TO THE ER TO HAVE THE NPA REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 11137 | CURAPLEX 36619 NPA KIT | AIRWAY, NASOPHARYNGEAL AIRWAY | BTQ | WELL LEAD MEDICAL CO. LTD | 36619 | ASM0020726 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR | Required Intervention |