FDA Adverse Event
Injury
Summary report: N
1223688-1999-00038
MDR report key: 257060
·
Received December 27, 1999
Report
- Report Number
- 1223688-1999-00038
- Event Type
- Injury
- Date Received
- December 27, 1999
- Date of Event
- November 16, 1999
- Report Date
- November 29, 1999
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
RN STATES THE PEG WAS PLACED INTO PT IN 99, PT RETURNED TO E.R. WITH AN INFECTION AROUND THE STOMA SITE. PT WAS ADMITTED TO HOSP AND PUT ON UNK. IV ANTIBIOTICS.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Hospitalization| R |