FDA Adverse Event Other Summary report: N

ENTRIFLEX FEEDING TUBE

MDR report key: 3817524 · Received May 5, 2014

Report

Report Number
9612030-2014-00027
Event Type
Other
Date Received
May 5, 2014
Report Date
April 29, 2014
Manufacturer
COVIDIEN
Product Code
FPD
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION IS CURRENTLY UNDERWAY, UPON COMPLETION THE RESULTS WILL BE FORWARDED.

Description of Event or Problem · 1

IT WAS REPORTED TO COVIDIEN ON (B)(6) 2014 THAT A CUSTOMER HAD AN ISSUE WITH A FEEDING TUBE AND RECEIVED A CONTAMINATED STICK. THE CUSTOMER REPORTS THAT A KAOFEED TUBE WAS INSERTED INTO THE PATIENT. THE PLACEMENT WAS VERIFIED BY CXR. UPON ATTEMPTING TO REMOVE THE GUIDEWIRE, THE CAP ON THE GUIDEWIRE CAME OFF AND A STAFF MEMBER WAS POKED BY THE SHARP METAL WIRE. THE GUIDEWIRE WAS UNABLE TO BE REMOVED EVEN WHEN TRYING TO REMOVE IT WITH FORCEPS. THE TUBE WAS THEN DISCONTINUED AND A NEW KAOFEED TUBE WAS INSERTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
267926 ENTRIFLEX FEEDING TUBE FEEDING TUBE FPD COVIDIEN 8884720825 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN