BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MIC GASTRO-ENTERIC FEEDING TUBE

    MDR report key: 3140814 · Received May 24, 2013

    Report

    Report Number
    MW5030346
    Event Type
    Malfunction
    Date Received
    May 24, 2013
    Date of Event
    May 23, 2013
    Report Date
    May 24, 2013
    Manufacturer
    KIMBERLY-CLARK
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    COULD NOT REMOVE THE GUIDEWIRE FROM THE FEEDING TUBE. FURTHER INVESTIGATION DISCOVERED A WEAKENED, PARTIALLY COMPRESSED AREA AT THE MID-DISTAL PORTION OF THE TUBE. DIAGNOSIS OR REASON FOR USE: NUTRITIONAL TRAUMA MANAGEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    231096 MIC GASTRO-ENTERIC FEEDING TUBE FEEDING TUBE KNT KIMBERLY-CLARK 0210-20 AA2032E03

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR