BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CORFLO ENTERAL FEEDING TUBE

    MDR report key: 21229550 · Received January 24, 2025

    Report

    Report Number
    21229550
    Event Type
    Injury
    Date Received
    January 24, 2025
    Date of Event
    January 2, 2025
    Report Date
    January 7, 2025
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    KNT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    UT
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    WE HAD A FEEDING TUBE BREAK APART WHILE INSERTED INTO A PATIENT. MORNING CHEST X-RAY SHOWED PATIENT'S FEEDING TUBE BROKEN INSIDE THE PATIENT'S STOMACH. NASOGASTRIC (NG) TUBE REMOVED. THE END OF THE TUBE APPEARED BROKEN. A REPEAT KIDNEY, URETER, AND BLADDER (KUB) X-RAY WAS TAKEN AND A PIECE OF THE TUBE REMAINED IN THE STOMACH/DUODENUM. MANUFACTURER RESPONSE FOR TUBES, GASTROINTESTINAL (AND ACCESSORIES), CORFLO ENTERAL FEEDING TUBE (PER SITE REPORTER). EMAILED VENDOR ON 1/3, AVANOS ASKING FOLLOW-UP QUESTIONS WHICH HAS BEEN FORWARDED TO THE CLINICAL CAREGIVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    858059 CORFLO ENTERAL FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CORPAK MEDSYSTEMS, INC. 40-9558

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Female Required Intervention| O