BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NEOMED 5.0FR 40CM PVC ENTERAL FEEDING TUBE

    MDR report key: 10919050 · Received November 27, 2020

    Report

    Report Number
    MW5098126
    Event Type
    Malfunction
    Date Received
    November 27, 2020
    Date of Event
    November 21, 2020
    Report Date
    November 24, 2020
    Manufacturer
    NEOMED, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    RN CARING FOR INFANT FOUND THE TOP OF THE INFANT'S #5 FR NG FEEDING TUBE TOP TO BE BROKEN OFF THE TUBING. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1380248 NEOMED 5.0FR 40CM PVC ENTERAL FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT NEOMED, INC. FTS5.0V-EO 20180505

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO