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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBVIE - MEDICAL DEVICE CENTER DUODOPA_DUOPA; TUBES, GASTROINTESTINAL (AND ACCESSORIES)

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ABBVIE - MEDICAL DEVICE CENTER DUODOPA_DUOPA; TUBES, GASTROINTESTINAL (AND ACCESSORIES) Back to Search Results
Catalog Number DUODOPA NASAL TUBE
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Aspiration/Inhalation (1725); Pneumonia (2011)
Event Date 04/27/2022
Event Type  Injury  
Manufacturer Narrative
Reference record (b)(4).The device manufacturer and lot number of the device involved in this complaint was not provided.Therefore, it is unknown if the device involved was abbvie branded tubing.Conservatively, abbvie has chosen to report this complaint due to the potential that the device involved could have been abbvie branded tubing.The device involved in the event was discarded; therefore, a return sample evaluation is unable to be performed.Aspiration pneumonia is a known complication of a peg tube placement.If any further relevant information is identified or obtained, a supplemental medwatch will be filed.
 
Event Description
On (b)(6) 2022, a patient in (b)(6) underwent a procedure for the placement of naso jejunal (nj) tube.On (b)(6) 2022 the patient stopped breathing when the nasojejunal tube was inserted.The tube was discontinued and the patient was able to breathe again for a short time afterwards but "badly" as the patient experienced bronchospasms.The patient was placed in the intensive care unit.Two hours later, the nasojenunal tube was tried again but failed to enter the esophagus and tube placement was interrupted again.The patient was treated with fenistil, adrenaline, prednisolone and other unknown medications.It was reported that the patient had swallowing difficulties (anamnesis).In (b)(6) 2022, a physician reported that the patient developed aspiration pneumonia and was treated with unknown intravenous antibiotics.At the time of report, the patient was no longer in intensive care.
 
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Brand Name
DUODOPA_DUOPA
Type of Device
TUBES, GASTROINTESTINAL (AND ACCESSORIES)
Manufacturer (Section D)
ABBVIE - MEDICAL DEVICE CENTER
1675 lakeside drive
waukegan IL 60085
Manufacturer (Section G)
ABBVIE - MEDICAL DEVICE CENTER
1675 lakeside drive
waukegan IL 60085
Manufacturer Contact
terry ingram
1675 lakeside drive
waukegan, IL 60085
8479385350
MDR Report Key14489616
MDR Text Key292587506
Report Number3010757606-2022-00352
Device Sequence Number1
Product Code KNT
Combination Product (y/n)N
Reporter Country CodeGM
PMA/PMN Number
K142792
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Health Professional
Reporter Occupation Physician
Remedial Action Other
Type of Report Initial
Report Date 05/24/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Catalogue NumberDUODOPA NASAL TUBE
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 04/27/2022
Initial Date FDA Received05/24/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention; Hospitalization;
Patient Age72 YR
Patient SexMale
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