BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO ENTERAL FEEDING TUBE

    MDR report key: 17170391 · Received June 21, 2023

    Report

    Report Number
    17170391
    Event Type
    Malfunction
    Date Received
    June 21, 2023
    Date of Event
    May 31, 2023
    Report Date
    June 8, 2023
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    UT
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PATIENT HAD AN NASOGASTRIC TUBE PLACED . PATIENT TOLERATED NASOJEJUNAL (NJ) FEEDS UNTIL THE NJ TUBE WAS FOUND TO BE BROKEN AT 20 CM FROM THE DISTAL TIP, WITH THE PROXIMAL PORTION NOW OUT OF THE PATIENT'S NOSE (UNCLEAR WHEN IT SLIPPED OUT). AN ABDOMINAL X-RAY WAS OBTAINED WHICH SHOWED THAT THE DISTAL 20 CM OF THE NJ TUBE WAS RETAINED WITHIN THE PATIENT'S ABDOMEN. PATIENT WAS INCREASINGLY FUSSY AND UNCOMFORTABLE WITH THIS EVENT, BUT CURRENTLY NO EVIDENCE OF FREE AIR OR OTHER MAJOR COMPLICATION ON X-RAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1999654 CORFLO ENTERAL FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CORPAK MEDSYSTEMS, INC. 40-9366 20106986

    Patients

    Seq Age Sex Outcome Treatment
    1 120 DA Male