BEUDAMED
    FDA Adverse Event Death Summary report: N

    CORFLO-ULTRA LITE SBF NG

    MDR report key: 268916 · Received March 10, 2000

    Report

    Report Number
    1419949-2000-00003
    Event Type
    Death
    Date Received
    March 10, 2000
    Date of Event
    February 14, 2000
    Report Date
    March 10, 2000
    Manufacturer
    CORPAK
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE TUB WAS INADVERTENTLY PLACED INTO THE PT'S LUNG, RESULTING IN LUNG PUNCTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORFLO-ULTRA LITE SBF NG SBF FEEDING TUBE FPD CORPAK * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Life Threatening| R