FDA Adverse Event
Injury
Summary report: N
QORA
MDR report key: 24793941
·
Received April 6, 2026
Report
- Report Number
- MW5186385
- Event Type
- Injury
- Date Received
- April 6, 2026
- Date of Event
- March 20, 2026
- Report Date
- March 31, 2026
- Manufacturer
- CONSURE MEDICAL/ CM TECHNOLOGIES, INC.
- Product Code
- KNT
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
QORA FMS ORDERED ON (B)(6) 2026. ON (B)(6) 2026 PATIENT DEVELOPED SIGNIFICANT RECTAL BLEEDING AND A DROP IN HEMOGLOBIN. PATIENT WITH HISTORY OF LIVER DYSFUNCTION AND ETOH (ETHANOL). INVESTIGATION BY SUBJECT MATTER EXPERTS RESULTED THAT THE BLEEDING WAS ATTRIBUTED TO THE QORA FMS AND HAS THUS BEEN REMOVED FROM USE IN OUR FACILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 848138 | QORA | TUBES, GASTROINTESTINAL (AND ACCESSORIES) | KNT | CONSURE MEDICAL/ CM TECHNOLOGIES, INC. | MG-22014-002 | 132412 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Male | Required Intervention |