BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MALLINCKRODT MEDICAL

    MDR report key: 434955 · Received December 20, 2002

    Report

    Report Number
    434955
    Event Type
    Injury
    Date Received
    December 20, 2002
    Date of Event
    December 2, 2002
    Report Date
    December 10, 2002
    Manufacturer
    MALLINCKRODT MEDICAL, INC.
    Product Code
    FPD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FEEDING TUBE USED FOR URINARY CATHETERIZATION. COULD NOT BE REMOVED DUE TO KNOT IN TUBE. REQUIRED SURGICAL REMOVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MALLINCKRODT MEDICAL FEEDING TUBE FPD MALLINCKRODT MEDICAL, INC. 85774 *

    Patients

    Seq Age Sex Outcome Treatment
    1 31 MO Required Intervention