BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DYNAREX

    MDR report key: 8687283 · Received June 10, 2019

    Report

    Report Number
    MW5087241
    Event Type
    Injury
    Date Received
    June 10, 2019
    Date of Event
    May 29, 2019
    Report Date
    June 6, 2019
    Manufacturer
    DYNAREX CORPORATION
    Product Code
    BTQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE IN THE FIELD ENROUTE TO HOSP, WARREN EMS USED A #5 NASAL TRUMPET WHICH GOT STUCK IN PT'S THROAT AND WAS SUBSEQUENTLY COUGHED UP AT HOSP. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    475170 DYNAREX NASOPHARYNGEAL AIRWAY BTQ DYNAREX CORPORATION 4592 40060

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention