RUSCH ENDOTRACHEAL TUBE WITH CUFF N/A 104004-080

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-09-16 for RUSCH ENDOTRACHEAL TUBE WITH CUFF N/A 104004-080 manufactured by Rusch.

Event Text Entries

[15031132] 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.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9903
MDR Report Key9903
Date Received1994-09-16
Date of Report1994-09-07
Date of Event1994-03-07
Date Facility Aware1994-03-07
Report Date1994-09-07
Date Reported to Mfgr1994-03-08
Date Added to Maude1995-02-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameRUSCH ENDOTRACHEAL TUBE WITH CUFF
Generic NameENDOTRACHEAL TUBE
Product CodeLNZ
Date Received1994-09-16
Model NumberN/A
Catalog Number104004-080
Lot NumberN/A
ID NumberN/A
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Device Age01-SEP-93
Implant FlagN
Device Sequence No1
Device Event Key9555
ManufacturerRUSCH


Patients

Patient NumberTreatmentOutcomeDate
101. Death 1994-09-16

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