BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KENDALL ARGYLE SALEM SUMP

    MDR report key: 2760202 · Received May 29, 2007

    Report

    Report Number
    2760202
    Event Type
    Injury
    Date Received
    May 29, 2007
    Date of Event
    May 22, 2007
    Report Date
    May 25, 2007
    Manufacturer
    TYCO/HEALTHCARE GROUP LP
    Product Code
    KNT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN NG FEEDING TUBE WAS REMOVED, IT WAS DISCOVERED THAT THE END OF THE TUBE HAD A KNOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KENDALL ARGYLE SALEM SUMP NG TUBE WITH ANTI - REFLUX VALVE KNT TYCO/HEALTHCARE GROUP LP 16FR/CH (5.3MM)

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Other