BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SURGITEK CONTINUOUS FEEDING TUBE, 28 FR RIGHT ANGLE

    MDR report key: 12272 · Received March 25, 1994

    Report

    Report Number
    MW1001227
    Event Type
    Malfunction
    Date Received
    March 25, 1994
    Date of Event
    February 19, 1994
    Report Date
    March 14, 1994
    Manufacturer
    MEDICAL ENGINEERING CORP.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON 2/19/94 ONE ADAPTER END OF FEEDING TUBE SEPARATED AT CONNECTION. A SECOND FEEDING TUBE BROKE BEFORE THE CONNECTION. ON 2/21/94, AGAIN THE ADAPTER END OF FEEDING TUBE SEPARATED AT THE CONNECTION AND A THIRD FEEDING TUBE BROKE. (ALSO SEE MW 1001228 AND MW1001229.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGITEK CONTINUOUS FEEDING TUBE, 28 FR RIGHT ANGLE CONTINUOUS FEEDING TUBE KNT MEDICAL ENGINEERING CORP. 1028001 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 14 MO Other SURGITEK GASTROSTOMY BUTTON