BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TUBE, FEEDING, CORTRAK

    MDR report key: 2141632 · Received June 15, 2011

    Report

    Report Number
    2141632
    Event Type
    Malfunction
    Date Received
    June 15, 2011
    Date of Event
    June 11, 2011
    Report Date
    June 15, 2011
    Manufacturer
    CORPAK MEDSYSTEMS
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    THE RN REPORTED THAT THEY PLACED A CORTRAK DEVICE IN THE PT, BUT WERE THEN UNABLE TO REMOVE THE STYLET. THE CORTRAC WAS REMOVED AND NEW ONE WAS PLACED WITHOUT INCIDENCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TUBE, FEEDING, CORTRAK CORTRAK FEEDING TUBE W STYLET KNT CORPAK MEDSYSTEMS 20-9431TRAK 10 FR *

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR