BEUDAMED
    FDA Adverse Event Summary report: N

    MIC GASTROSTOMY TUBE

    MDR report key: 17882 · Received November 18, 1994

    Report

    Report Number
    MW1004071
    Date Received
    November 18, 1994
    Date of Event
    March 1, 1994
    Report Date
    November 8, 1994
    Manufacturer
    MEDICAL INNOVATIONS CORP.
    Product Code
    KNT
    Report Source
    Voluntary report
    Reporter Location
    NH, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    BALLOONS HAD BURST. REPLACEMENT SENT BY MFR. (*)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MIC GASTROSTOMY TUBE KNT MEDICAL INNOVATIONS CORP. 940332, 940124, 4010401

    Patients

    Seq Age Sex Outcome Treatment
    1 *