BEUDAMED
    FDA Adverse Event Summary report: N

    ENTERAL FEEDING TUBE

    MDR report key: 23838 · Received July 28, 1995

    Report

    Report Number
    MW1006567
    Date Received
    July 28, 1995
    Date of Event
    July 5, 1995
    Report Date
    July 24, 1995
    Manufacturer
    ELAN PHARMA, INC.
    Product Code
    FPD
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PLACED 6 FR FEEDING TUBE. WHEN EXTRACTING THE WIRE, THE CONNECTOR PORTION BROKE FROM THE TUBE. REQUIRED PLACEMENT OF ANOTHER TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENTERAL FEEDING TUBE FEEDING TUBE FPD ELAN PHARMA, INC. 950108

    Patients

    Seq Age Sex Outcome Treatment
    1 24 MO