BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SILICONE SALEM SUMP TUBE

    MDR report key: 1003965 · Received February 25, 2008

    Report

    Report Number
    MW5005693
    Event Type
    Injury
    Date Received
    February 25, 2008
    Date of Event
    February 18, 2008
    Report Date
    February 25, 2008
    Manufacturer
    TYCO HEALTHCARE/KENDALL
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    M.D. TO PLACE RISKY NGT PLACEMENT ON PT WITH STAB WOUND TO NECK. SILICONE SALEM SUMP TUBE PLACED AND WOULD NOT FLUSH. TUBE ASSUMED TO BE KINKED. UPON REMOVING TUBE, IT WAS FOUND THAT TUBE DID NOT HAVE ANY HOLES IN THE END OF IT. A NEW TUBE HAD TO BE OBTAINED AND RISKY PROCEDURE WAS REPEATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILICONE SALEM SUMP TUBE NASOGASTRIC TUBE KNT TYCO HEALTHCARE/KENDALL 16 FR, 48"

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Disability