DUODOPA_DUOPA
Report
- Report Number
- 3010757606-2026-00151
- Event Type
- Injury
- Date Received
- May 18, 2026
- Date of Event
- May 7, 2026
- Report Date
- May 18, 2026
- Manufacturer
- ABBVIE MEDICAL DEVICE CENTER
- Product Code
- KNT
- PMA / PMN Number
- K142793
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
REFERENCE NUMBER (B)(4). CATALOG NUMBER IN D4 IS THE INTERNATIONAL LIST NUMBER WHICH IS SIMILAR TO US LIST NUMBER OF 062910. 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.
ON AN UNKNOWN DATE A PATIENT IN AUSTRALIA UNDERWENT A PROCEDURE FOR THE PLACEMENT OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY-JEJUNAL (PEG-J) TUBES. ON (B)(6) 2026 IT WAS REPORTED THE PATIENT WAS ADMITTED TO THE HOSPITAL WITH A PAINFUL STOMA AND DISCHARGE FROM THE STOMA. PATIENT HAD AN ULTRASOUND AND AN XRAY WITH UNKNOWN RESULTS. PEG-J IS VERY OLD AND THE HOSPITAL IS ARRANGING FOR A PEG-J REPLACEMENT. PATIENT IS BEING TREATED FOR THE INFECTED STOMA WITH UNKNOWN ORAL ANTIBIOTICS. THE DEVICE INVOLVED IN THE EVENT WAS NOT RETURNED; THEREFORE, A RETURN SAMPLE EVALUATION IS UNABLE TO BE PERFORMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 535695 | DUODOPA_DUOPA | TUBES, GASTROINTESTINAL (AND ACCESSORIES) | KNT | ABBVIE MEDICAL DEVICE CENTER | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention| H | UNKNOWN INTESTINAL TUBE/ LOT#. |