BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 862885 · Received May 25, 2007

    Report

    Report Number
    862885
    Event Type
    Death
    Date Received
    May 25, 2007
    Date of Event
    April 23, 2007
    Report Date
    May 25, 2007
    Manufacturer
    HOSPIRA GLOBAL MEDICAL AFFAIRS
    Product Code
    DYG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    ME, US

    Narratives

    Description of Event or Problem · 1

    WHILE INFLATING PULMONARY ARTERY BALLOON, PATIENT COUGHED, BROUGHT UP FRANK BLOOD. INTUBATED, PULMONARY ARTERY COILING PROCEDURE PERFORMED. PATIENT BECAME HYPOTENSIVE, AND EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * CATHETER, SWAN-GANZ DYG HOSPIRA GLOBAL MEDICAL AFFAIRS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Death