BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FEEDING TUBE, MIC*TRANSGASTRIC-JEJUNAL

    MDR report key: 2023219 · Received February 16, 2011

    Report

    Report Number
    2023219
    Event Type
    Malfunction
    Date Received
    February 16, 2011
    Date of Event
    January 12, 2011
    Report Date
    February 16, 2011
    Manufacturer
    KIMBERLY-CLARK
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MT, US

    Narratives

    Description of Event or Problem · 1

    THE PT HAD A GASTRO-JEJUNAL (GJ) TUBE REPLACED LAST MONTH AS HER OTHER ONE HAD PARTIALLY COME OUT. THE PT RETURNED BECAUSE THE NEW GJ TUBE HAD FALLEN COMPLETELY OUT. THEY BROUGHT THE TUBE IN WITH THEM AND THE BALLOON HAD BURST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEEDING TUBE, MIC*TRANSGASTRIC-JEJUNAL TRANSGASTRIC-JEJUNAL FEEDING TUBE KNT KIMBERLY-CLARK 15 FR 45 CM 7-10 ML AA0102N08

    Patients

    Seq Age Sex Outcome Treatment
    1 93 YR