FDA Adverse Event
Malfunction
Summary report: N
HYGH-TEC
MDR report key: 23390346
·
Received October 27, 2025
Report
- Report Number
- 23390346
- Event Type
- Malfunction
- Date Received
- October 27, 2025
- Date of Event
- September 23, 2025
- Report Date
- October 2, 2025
- Manufacturer
- ADVANCED MEDICAL BALLOONS GMBH
- Product Code
- KNT
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
PATIENT HAD A FECAL MANAGEMENT SYSTEM (FMS) IN, INITIAL ONE WAS PLACED [REDACTED] REMOVED [REDACTED]- 4 DAYS LATER. A NEW ONE PLACED ON THE SAME DAY AND REMOVED ON [REDACTED] - 2 DAYS LATER - DUE TO BALLON LEAKING AIR AND SYSTEM LEAKING. WHEN FMS REMOVED PATIENT ALSO NOTED TO HAVE A PRESSURE INJURY ON RECTUM BELIEVED TO BE FROM HARD PLASTIC ON FMS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2308291 | HYGH-TEC | TUBES, GASTROINTESTINAL (AND ACCESSORIES) | KNT | ADVANCED MEDICAL BALLOONS GMBH | V01-10024 | 2414001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Female |