FDA Adverse Event Injury Summary report: N

ENTERALITE INFINITY ENTERAL PUMP DELIVERY SET 500ML

MDR report key: 13600243 · Received February 24, 2022

Report

Report Number
MW5107701
Event Type
Injury
Date Received
February 24, 2022
Date of Event
February 19, 2022
Report Date
February 22, 2022
Manufacturer
MOOG / ZEVEX, INC.
Product Code
PIF
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND
Health Professional
*

Narratives

Description of Event or Problem · 0

OUR (B)(6) OLD SON HAS A GASTROSTOMY TUBE FOR RECEIVING ALL OF HIS FEEDINGS FOR NUTRITION. HIS FEEDINGS ARE DONE WITH A MOOG ENTERALITE INFINITY ENTERAL PUMP DELIVERY SET (INF0500-A). HIS CURRENT FEEDING SCHEDULE INCLUDES AN OVERNIGHT CONTINUOUS FEEDING FROM 22:00 TO 07:00 AT 45 ML/HR. ON (B)(6) 2022 IN THE EARLY MORNING (AROUND 04:00), WE WOKE UP TO OUR SON CRYING. THE ENTERAL FEEDING SET WAS WRAPPED COMPLETELY AROUND HIS NECK. WE IMMEDIATELY UNWRAPPED THE ENTERAL FEEDING SET FROM HIS NECK. HE WAS NOT INJURED; HOWEVER, WE FEAR THAT IF HE HAD NOT WOKEN US UP BY CRYING THAT HE COULD HAVE STRANGLED HIMSELF IN THE FEEDING SET LEADING TO POSSIBLE DEATH. WE HAVE CONTACTED OUR SON'S GI DOCTOR AND ARE AWAITING INSTRUCTIONS ON HOW WE CAN MITIGATE THE RISKS ASSOCIATED WITH OVERNIGHT CONTINUOUS FEEDINGS WHEN WE ARE ASLEEP AND CANNOT ACTIVELY MONITOR WHETHER OR NOT HE IS TANGLED IN THE ENTERAL FEEDING SET. FDA SAFETY REPORT ID #: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1760828 ENTERALITE INFINITY ENTERAL PUMP DELIVERY SET 500ML GASTROINTESTINAL TUBES WITH ENTERAL SPECIFIC CONNECTORS PIF MOOG / ZEVEX, INC.

Patients

Seq Age Sex Outcome Treatment
1 9 MO Male Required Intervention AMT MINI-ONE G-TUBE 14FR 1.2CM| AZITHROMYCIN ORAL SUSPENSION| OMEPRAZOLE ORAL SUSPENSION