BEUDAMED
    FDA Adverse Event Summary report: N

    DOBBHOFF KANGAROO

    MDR report key: 2992404 · Received February 25, 2013

    Report

    Report Number
    2992404
    Date Received
    February 25, 2013
    Date of Event
    February 17, 2013
    Report Date
    February 25, 2013
    Manufacturer
    COVIDIEN, FORMERLY US SURGICAL A DIVISON OF TYCO HEALTHCARE
    Product Code
    KNT
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT HAD PARTIALLY REMOVED THE FEEDING TUBE. THE TUBE CANNOT BE RE-ADVANCED ONCE INITIALLY PLACED. THE NURSE ATTEMPTED TO COMPLETELY REMOVE THE TUBE BUT IT BECAME STUCK. THE DOCTOR NUMBED THE PATIENT'S NOSE, INSERTED A GUIDE WIRE AND UTILIZED SURGICAL FORCEPS TO REMOVE THE TUBE.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?REMOVE THE FEEDING TUBE BY GENTLY PULLING IT OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    79468 DOBBHOFF KANGAROO TUBES, GASTROINTESTINAL KNT COVIDIEN, FORMERLY US SURGICAL A DIVISON OF TYCO HEALTHCARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR NO OTHER THERAPIES