BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEOMED 5.0 FR 40 CM PVC ENTERAL FEEDING TUBE

    MDR report key: 11482766 · Received March 12, 2021

    Report

    Report Number
    MW5099989
    Event Type
    Injury
    Date Received
    March 12, 2021
    Date of Event
    March 8, 2021
    Report Date
    March 11, 2021
    Manufacturer
    NEOMED INC
    Product Code
    KNT
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PATIENT'S OG TUBE PORT DETACHED FROM CATHETER WHEN REMOVING FEEDING TUBING. OGT DEFECTIVE. INFANT UNINJURED AND OGT REMOVED AND REPLACED. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    374880 NEOMED 5.0 FR 40 CM PVC ENTERAL FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT NEOMED INC

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO Required Intervention