BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NGT 6FR

    MDR report key: 2906573 · Received January 7, 2013

    Report

    Report Number
    MW5028484
    Event Type
    Injury
    Date Received
    January 7, 2013
    Date of Event
    December 28, 2012
    Report Date
    December 31, 2012
    Product Code
    BSS
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A 6FR NG TUBE WAS INTACT FOR 0200 FEEDING. AT 0400, END OF TUBE WAS BROKEN OFF AND LYING IN CRIB WITH REMAINDER OF TUBE STILL IN NARE. TUBE REMOVED AND NEW ONE PLACED. X-RAY COMPLETED TO CONFIRM APPROPRIATE PLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    8430 NGT 6FR BSS E060830 REFERENCE #

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO Required Intervention