BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHERWOOD PEG FEEDING TUBE

    MDR report key: 35259 · Received July 17, 1996

    Report

    Report Number
    35259
    Event Type
    Malfunction
    Date Received
    July 17, 1996
    Date of Event
    November 20, 1995
    Report Date
    January 10, 1996
    Manufacturer
    SHERWOOD MEDICAL CO.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DR WAS UNABLE TO REMOVE GASTROSTOMY TUBE. PT SCHEDULED FOR EGD WITH GASTROSTOMY TUBE REMOVAL UNDER GENERAL ANESTHESIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHERWOOD PEG FEEDING TUBE PEG FEEDING TUBE KNT SHERWOOD MEDICAL CO. NA 972192

    Patients

    Seq Age Sex Outcome Treatment
    1 4 YR Other