BEUDAMED
    FDA Adverse Event Injury Summary report: N

    G-JET GJ TUBE FAMILY

    MDR report key: 23276106 · Received October 14, 2025

    Report

    Report Number
    MW5177222
    Event Type
    Injury
    Date Received
    October 14, 2025
    Date of Event
    May 20, 2025
    Report Date
    October 10, 2025
    Manufacturer
    APPLIED MEDICAL TECHNOLOGY, INC.
    Product Code
    KNT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    A REPORTER CALLED IN ON BEHALF OF BEING THE GUARDIAN OF THIS CHILD WHO USES THIS DEVICE TO ADMINISTER HER MEDICATION AND FOOD. THROUGH THE G-JET GJ TUBE. WHEN CHANGING OUT THE PUMP FOR THE MEDICATION IT BROKE OFF AND BECAME STUCK IN THE PATIENT. THIS PROBLEM CAUSED HER TO BE HOSPITALIZED WHERE SHE IS STILL CURRENTLY DUE TO IT INTERFERING WITH HER RECEIVING HER MEDICATIONS. SHE ALSO RECEIVES FOOD BY USING THIS MEDICAL DEVICE AS WELL. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    37 G-JET GJ TUBE FAMILY TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT APPLIED MEDICAL TECHNOLOGY, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 28 MO Female Hospitalization