BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MANIFLEX FEEDING TUBE, 8 FR

    MDR report key: 12807 · Received April 18, 1994

    Report

    Report Number
    MW1001637
    Event Type
    Malfunction
    Date Received
    April 18, 1994
    Date of Event
    February 14, 1994
    Report Date
    February 14, 1994
    Manufacturer
    BIOSEARCH MEDICAL PRODUCTS, INC.
    Product Code
    FPD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT PULLED ON FEEDING TUBE, PARTIALLY DISPLACING IT. NURSING STAFF SUBSEQUENTLY REMOVED TUBE. DISTAL PORTION OF TUBE WAS MISSING AS NOTED ON X-RAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MANIFLEX FEEDING TUBE, 8 FR Implant DOBHOFF FEEDING TUBE FPD BIOSEARCH MEDICAL PRODUCTS, INC. UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR