BEUDAMED
    FDA Adverse Event Death Summary report: N

    PONSKY NON-BALLOON REPLACEMENT GASTROSTOMY TUBE

    MDR report key: 17012 · Received October 20, 1994

    Report

    Report Number
    MW1003745
    Event Type
    Death
    Date Received
    October 20, 1994
    Date of Event
    October 14, 1994
    Report Date
    October 17, 1994
    Manufacturer
    C.R. BARD, INC.
    Product Code
    KNT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    AFTER FEBRUARY 1994 REPLACEMENT, PT DEVELOPED PERITONITIS AND DIED. NO APPARENT PROBLEMS WITH REPLACEMENT PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PONSKY NON-BALLOON REPLACEMENT GASTROSTOMY TUBE GASTROSTOMY TUBE KNT C.R. BARD, INC. 000630 88DE0437

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death