BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEOMED 5.0 FR 60 CM FEEDING TUBE / ENTERAL FEEDING TUBE

    MDR report key: 11278776 · Received February 3, 2021

    Report

    Report Number
    MW5099214
    Event Type
    Injury
    Date Received
    February 3, 2021
    Date of Event
    October 13, 2020
    Report Date
    February 2, 2021
    Manufacturer
    NEOMED, INC.
    Product Code
    FPD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    ORANGE END TO NG FEEDING TUBE RANDOMLY FELL OFF. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    173253 NEOMED 5.0 FR 60 CM FEEDING TUBE / ENTERAL FEEDING TUBE TUBE, FEEDING FPD NEOMED, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO Required Intervention