FDA Adverse Event Death Summary report: N

RUSCH ENDOTRACHEAL TUBE WITH CUFF

MDR report key: 9903 · Received September 16, 1994

Report

Report Number
9903
Event Type
Death
Date Received
September 16, 1994
Date of Event
March 7, 1994
Report Date
September 7, 1994
Manufacturer
RUSCH
Product Code
LNZ
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

A 79 YEAR OLD FEMALE PATIENT WAS TRANSPORTED TO ENDOSCOPY AT 0726 MARCH 7, 1994 FOR A BRONCHOSCOPY. DURING THE PROCEDURE THE PHYSICIAN INTUBATED THE PATIENT USING THE BRONCHOSCOPE AND A ENDOTRACHEAL TUBE. THE BRONCHOSCOPE WAS REMOVED AND A SWIVEL OXYGEN ADAPTER WAS CONNECTED THE TAPED. THE WHITE MEMBRANE OF THE ADAPTER REMAINED IN PLACE. THE BRONCHOSCOPE WAS THEN REINSERTED. OXYGEN SATURATION DECREASED TO 84%, AND THE PHYSICIAN GAVE ORDERS TO INCREASE THE OXYGEN FLOW RATE TO 15 1/MIN. APPROXIMATELY 30-60 SECONDS LATER, FACIAL EDEMA, ADBOMINAL DISTENSION, AND NECK DISTENSION WERE NOTED. THE PHYSICIAN EXTUBATED THE PATIENT, POSITIONED HER ON THE RIGHT SIDE AND MANTAINED THE AIRWAY. A CODE WAS CALLED. THE PATIENT WAS REINTUBATED AND CARDIOPULMONARY RESUSCITATION WAS IN PROGRESS. A CHEST X-RAY WAS TAKEN WHICH INDICATED BILATERAL PNEUMOTHORACES. A RIGHT AND LEFT CHEST TUBE WERE INSERTED AND CARDIOPULMONARY RESUSCITATION CONTINUED. HOWEVER, THE PATIENT DID NOT RESPOND TO AGGRESSIVE MEDICAL TREATMENT AND EXPIRED AT 0836.(PLEASE REFERENCE 450056-1994-002 AND 450056-1994-008THERE WAS ONLY ONE DEATH BUT MULTIPLE DEVICES USED.)DEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: NO. CORRECTIVE ACTIONS: INVALID DATA. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RUSCH ENDOTRACHEAL TUBE WITH CUFF ENDOTRACHEAL TUBE LNZ RUSCH N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 79 YR Death