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