BEUDAMED
    FDA Adverse Event Other Summary report: N

    FEEDING TUBE

    MDR report key: 19781 · Received January 13, 1995

    Report

    Report Number
    19781
    Event Type
    Other
    Date Received
    January 13, 1995
    Date of Event
    December 28, 1994
    Report Date
    January 13, 1995
    Manufacturer
    ROSS LABS
    Product Code
    FPD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    TUNGSTEN TIP OF FEEDING TUBE CAME OFF FROM TUBE AND REMAINED IN STOMACH. TERMINAL CANCER PT HAD PROLONGED VOMITING EPISODES AND DIED 2 DAYS LATER. EVENT OCCURRED IN HOME. REPORT BEING FILED ON BEHALF OF HOSPICE OF COUNTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEEDING TUBE FEEDING TUBE FPD ROSS LABS 85157DT01

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Other