BEUDAMED
    FDA Adverse Event Other Summary report: N

    KENDALL-ARGYLE

    MDR report key: 2437911 · Received January 27, 2012

    Report

    Report Number
    MW5024073
    Event Type
    Other
    Date Received
    January 27, 2012
    Date of Event
    January 18, 2012
    Report Date
    January 27, 2012
    Manufacturer
    KENDALL
    Product Code
    FPD
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER COMPLETING THE NG FEEDING, THE NG TUBE WAS CAPPED. THE CAP LATER DISLODGED, OPENED UP AND THEN THE MAJORITY OF THE FEEDING SPILLED ON THE BED. THE INFANT DID NOT GAIN ANY WEIGHT THIS DAY AND WAS IRRITABLE. TUBE WAS REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KENDALL-ARGYLE INDWELLING PEDIATRIC FEEDING TUBE FPD KENDALL

    Patients

    Seq Age Sex Outcome Treatment
    1 4 MO Other