FDA Adverse Event Death Summary report: N

*

MDR report key: 892949 · Received May 25, 2007

Report

Report Number
892949
Event Type
Death
Date Received
May 25, 2007
Date of Event
April 20, 2007
Report Date
May 21, 2007
Manufacturer
OLYMPUS AMERICA, INC.
Product Code
KOG
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
MS, US

Narratives

Description of Event or Problem · 1

TOWARDS THE END OF THE COLONOSCOPY PATIENT VOMITED FECAL LOOKING VOMIT. PATIENT ALREADY LATERALLY POSITIONED FOR PROCEDURE, ORALLY SUCTIONED WITH YANKER AND SUCTIONED VIA PEG TUBE. OXYGEN SATURATIONS BEGAN TO DECREASE. OXYGEN SATURATIONS WERE DIFFICULT TO ASSESS WITH FINGER PROBE AND EAR PROBE. PHYSICIAN WAS CALLED TO BEDSIDE. ARTERIAL BLOOD GASES DRAWN. PATIENT WITH LABORED BREATHING THEN LOSS OF CONSCIOUSNESS. PATIENT INTUBATED AND CPR STARTED. FAILURE TO RESUSCITATE AFTER APPROXIMATELY 30 MINUTES. EQUIPMENT HAS BEEN SENT FOR MAINTENANCE CHECK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * ENDOSCOPE KOG OLYMPUS AMERICA, INC. CF-140L *

Patients

Seq Age Sex Outcome Treatment
1 58 YR Death