BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CORTRAK ENTERAL ACCESS SYSTEM

    MDR report key: 2170640 · Received July 18, 2011

    Report

    Report Number
    MW5021371
    Event Type
    Injury
    Date Received
    July 18, 2011
    Date of Event
    June 25, 2011
    Report Date
    July 5, 2011
    Manufacturer
    CORPAK MEDSYSTEMS
    Product Code
    KNT
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CORFLO WAS FOUND TO BE PERFORATED. THAT TUBE WAS REMOVED AND NEW ONE PLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORTRAK ENTERAL ACCESS SYSTEM KNT CORPAK MEDSYSTEMS 44927

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Required Intervention