FDA Adverse Event Malfunction Summary report: N

ENTRIFLEX FEEDING TUBE

MDR report key: 392132 · Received May 1, 2002

Report

Report Number
1314412-2002-00005
Event Type
Malfunction
Date Received
May 1, 2002
Report Date
May 1, 2002
Manufacturer
THE KENDAL COMPANY
Product Code
FPD
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

PATIENT WAS FITTED WITH AN ENTRIFLEX TUBE (18FR) FOR POST-OP DRAINAGE. IT WAS IMPOSSIBLE TO REMOVE THE GUIDE. THE TUBE WAS PULLED OUT, THE GUIDE REMOVED AND THE TUBE FITTED AGAIN ON PATIENT. SMALL INTESTINE PERFORATION ALLEGEDLY OCCURRED AT SOME POINT. MEDICAL INTERVENTION WAS REQUIRED. PATIENT IS FINE. COMPLAINT REPORTED TO UK OFFICE ON 04/2002. COMPLAINT REPORTED TO US OFFICE ON 04/2002.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENTRIFLEX FEEDING TUBE FEEDING TUBE FPD THE KENDAL COMPANY * U022201

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention