BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEOMED CATHETER - ENTERAL FEEDING

    MDR report key: 12835689 · Received November 17, 2021

    Report

    Report Number
    MW5105435
    Event Type
    Injury
    Date Received
    November 17, 2021
    Date of Event
    September 23, 2021
    Report Date
    November 16, 2021
    Manufacturer
    NEOMED, INC. / AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.)
    Product Code
    FPD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    INFANT HAD 5.0 FR 60CM PVC ENTERAL FEEDING TUBE IN PLACE. THIS RN NOTED UPON INSPECTION THAT ADAPTER AT THE END OF THE FEEDING TUBE HAD FALLEN OFF. FEEDING TUBE REMOVED AND REPLACED WITH NEW ENTERAL FEEDING TUBE. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1724549 NEOMED CATHETER - ENTERAL FEEDING TUBE, FEEDING FPD NEOMED, INC. / AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.) 20200608

    Patients

    Seq Age Sex Outcome Treatment
    1 2 MO Prefer Not To Disclose Required Intervention