FDA Adverse Event Injury Summary report: N

COMPAT ENTERAL DELIVERY SYSTEM

MDR report key: 1695780 · Received May 18, 2010

Report

Report Number
2110851-2010-00002
Event Type
Injury
Date Received
May 18, 2010
Date of Event
April 16, 2010
Report Date
May 3, 2010
Manufacturer
NESTLE HEALTHCARE NUTRITION, INC.
Product Code
LZH
PMA / PMN Number
K891575
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

MANUFACTURER REQUESTED DEVICE BE RETURNED FOR EVALUATION.

Description of Event or Problem · 1

RN INSTALLED THE SET INTO THE PUMP AT 7:00 PM, AND IS NOT CERTAIN IF THE SET WAS PROPERLY INSTALLED IN GUIDE. THE CERTIFIED NURSING ASSISTANT FOUND THE TUBING WAS PULLED OUT OF THE TUBING GUIDE ON THE PUMP AND 1500 CC WAS DELIVERED IN APPROXIMATELY 1.5 HOUR A TIME FRAME. PATIENT WAS SENT TO HOSPITAL FOR TREATMENT FOR ASPIRATION AND DID RESPIRATORY THERAPY IN HOSPITAL. PATIENT RETURNED TO NURSING HOME FIVE DAYS AFTER INCIDENT FULLY RECOVERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMPAT ENTERAL DELIVERY SYSTEM PRODUCT CODE LZH ENTERAL FEEDING PUMP LZH NESTLE HEALTHCARE NUTRITION, INC. 199235

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention