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