FDA Adverse Event
Injury
Summary report: N
DUODOPA_DUOPA
MDR report key: 23673932
·
Received November 28, 2025
Report
- Report Number
- 3010757606-2025-00519
- Event Type
- Injury
- Date Received
- November 28, 2025
- Date of Event
- November 1, 2025
- Report Date
- November 28, 2025
- Manufacturer
- ABBVIE - MEDICAL DEVICE CENTER
- Product Code
- KNT
- PMA / PMN Number
- K142793
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TU
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
CATALOG NUMBER IN D4 IS THE INTERNATIONAL LIST NUMBER WHICH IS SIMILAR TO US LIST NUMBER OF 062912. THE DEVICE INVOLVED IN THE EVENT REMAINED IMPLANTED IN THE PATIENT AND WAS NOT RETURNED; THEREFORE, A RETURN SAMPLE EVALUATION IS UNABLE TO BE PERFORMED. STOMA SITE INFECTION IS A KNOWN COMPLICATION OF A PEG TUBE PLACEMENT. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE FILED.
Description of Event or Problem · 0
ON AN UNKNOWN DATE, A PATIENT IN TURKEY UNDERWENT A PROCEDURE FOR THE PLACEMENT OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) TUBE. IT WAS REPORTED THAT THE PATIENT BEGAN TREATMENT WITH AN UNSPECIFIED ANTIBIOTIC DUE TO COMPLAINTS OF REDNESS AND DISCHARGE AT THE STOMA SITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2220236 | DUODOPA_DUOPA | TUBES, GASTROINTESTINAL (AND ACCESSORIES) | KNT | ABBVIE - MEDICAL DEVICE CENTER | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Male | Required Intervention | ABBVIE J-TUBE, LOT # UNKNOWN |