BEUDAMED
    FDA Adverse Event Other Summary report: N

    MOSS GASTROSTOMY TUBE-5-17719

    MDR report key: 335850 · Received June 1, 2001

    Report

    Report Number
    1320599-2001-00001
    Event Type
    Other
    Date Received
    June 1, 2001
    Date of Event
    April 6, 2001
    Report Date
    May 17, 2001
    Manufacturer
    MOSS TUBES, INC.
    Product Code
    KNT
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A MOSS GASTROSTOMY TUBE, (5-17719), 18 FR. WAS INSERTED IN THE OR ON MARCH 2001. THE TUBE WAS INSERTED BY DR. ON APRIL 2001 THE TUBE WAS LEAKING TUBE FEEDING AND ANOTHER DR, A SURGICAL RESIDENT, REMOVED THE TUBE UNEVENTFULLY. ON REMOVAL IT WAS NOTICED THAT NOT ONLY THE BALLOON WAS RUPTURED BUT THE JEJUNAL FEEDING WAS NO LONGER ATTACHED. A GASTROENTEROLOGIST TOOK THE PT TO GI LAB AND REMOVED THE REMAINING PORTION OF THE TUBE WITH AN ENDOSCOPE. THE TUBE WAS NOT SAVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    25469 MOSS GASTROSTOMY TUBE-5-17719 FEEDING, DECOMPRESSION TUBE KNT MOSS TUBES, INC. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention