BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TUBE, FEEDING ENTERAL W/STYLET 5FR 22IN

    MDR report key: 1071206 · Received June 15, 2008

    Report

    Report Number
    1071206
    Event Type
    Malfunction
    Date Received
    June 15, 2008
    Date of Event
    May 15, 2008
    Report Date
    June 15, 2008
    Manufacturer
    VIASYS HEALTHCARE MEDSYSTEMS
    Product Code
    FPD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    NASOGASTRIC TUBE LEAKING AT THE JOINT WHERE THE HUB MEETS THE TUBE. STILL TOGETHER BUT LEAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TUBE, FEEDING ENTERAL W/STYLET 5FR 22IN ENTERAL TUBE FPD VIASYS HEALTHCARE MEDSYSTEMS NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 3 MO