FDA Adverse Event Injury Summary report: N

G-TUBE

MDR report key: 19668031 · Received July 2, 2024

Report

Report Number
MW5156980
Event Type
Injury
Date Received
July 2, 2024
Date of Event
June 1, 2024
Report Date
July 2, 2024
Manufacturer
UNK
Product Code
KNT
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

SUBJECT (B)(6) IS A 66-YEAR-OLD MALE WITH OROPHARYNGEAL SCC WHO WAS RANDOMIZED (TO ANN A CRT/ NIVOLURNAB AND INITIATED TREATMENT ON MCC20274/EA3161 ON (B)(6) 2024. THE SUBJECT IS CURRENTLY ONE WEEK POST CYCLE CRT WK 7, RECEIVING A TOTAL OF: 5 DOSES OF CISPLATIN (B)(6)2024, (B)(6) 2024, (B)(6) 2024, (B)(6) 2024, (B)(6) 2024) WEEKS 1,3,4,5,6 CISPLATIN GIVEN. WEEKS 2 AND 7 CISPALTIN NOT GIVEN.) THE FOLLOWING EVENT(S) OCCURRED: SAE EVENT: INJURY, POISONING AND PROCEDURAL COMPLICATIONS. THIS EVENT STARTED ON: (B)(6) 2024. PATIENT WAS ADMITTED INPATIENT (B)(6) 2024 FOR ESOPHAGITIS. ON (B)(6) 2024 A G TUBE WAS PLACED DUE TO ESOPHAGITIS AND PATIENT WAS GIVEN AN EXPECTED DISCHARGE DATE OF (B)(6) 2024. ON (B)(6) 2024 THE SUBJECT REPORTED PAIN DURING WATER FLUSH OF TUBE. A CT REVEALED THE G TUBE WAS IN THE PERITONEUM. THE G TUBE WAS REMOVED. A PICC LINE WAS PLACED FOR TOTAL PARENTERAL NUTRITION. ON (B)(6) 2024 A NEW G TUBE WAS PLACED. AS OF TODAY, (B)(6) 2024, THE SUBJECT IS STILL INPATIENT DUE TO THE G TUBE CHANGE AND THUS PROLONGED HIS HOSPITALIZATION. THIS EVENT WILL BE UPDATED ONCE THE PATIENT HAS BEEN DISCHARGED. GR.3 INJURY. POISONING AND PROCEDURAL COMPLICATIONS - "OTL".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
477535 G-TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT UNK

Patients

Seq Age Sex Outcome Treatment
1 66 YR Male Hospitalization