BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARGYLE SALEM SUMP TUBE W/ANIT-REFLUX VALVE

    MDR report key: 35629 · Received August 16, 1996

    Report

    Report Number
    MW1009727
    Event Type
    Malfunction
    Date Received
    August 16, 1996
    Date of Event
    July 29, 1996
    Report Date
    July 30, 1996
    Manufacturer
    SHERWOOD MEDICAL CO.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NASOGASTRIC TUBE THAT WAS PLACED TWO DAYS EARLIER HAD NO DRAINAGE. MD INFORMED AND TUBE IMMEDIATELY REMOVED AND FOUND TO HAVE NO DRAINAGE HOLES. PT SUFFERED NO SEQUELAE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARGYLE SALEM SUMP TUBE W/ANIT-REFLUX VALVE NASOGASTRIC TUBE KNT SHERWOOD MEDICAL CO. 8888 453748

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other