FDA Adverse Event
Injury
Summary report: N
ENVUE® ENTERAL FEEDING TUBES
MDR report key: 17451002
·
Received August 3, 2023
Report
- Report Number
- 3017081712-2023-00002
- Event Type
- Injury
- Date Received
- August 3, 2023
- Date of Event
- May 22, 2023
- Report Date
- August 3, 2023
- Manufacturer
- ENVIZION MEDICAL, LTD.
- Product Code
- KNT
- UDI-DI
- B483ENV200000
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A LUNG PLACEMENT OCCURRED ON (B)(6) 2023. INTERVENTION WAS REQUIRED TO REMOVE THE FEEDING TUBE FROM THE LUNG TO PREVENT INJURY. BASED ON THE INFORMATION PROVIDE NO ACTUAL INJURY OCCURRED TO THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1507387 | ENVUE® ENTERAL FEEDING TUBES | NG FEEDING TUBE | KNT | ENVIZION MEDICAL, LTD. | ENV-2000 | N/A | B483ENV200000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Required Intervention |