FDA Adverse Event Injury Summary report: N

ENTERAL FEEDING TUBE WITH STYLET

MDR report key: 4387490 · Received December 30, 2014

Report

Report Number
MW5039968
Event Type
Injury
Date Received
December 30, 2014
Date of Event
April 27, 2014
Report Date
April 27, 2014
Manufacturer
CORPAK MEDSYSTEMS, INC.
Product Code
FPD
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NM, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

DOBHOFF FEEDING TUBE WAS INSERTED IN A PATIENT WITH AN ALREADY TENUOUS RESPIRATORY SYSTEM, BORDERING ON REINTUBATION. CHEST X-RAY REVEALED THE DOBHOFF TUBE TO BE IN THE LEFT LUNG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
858314 ENTERAL FEEDING TUBE WITH STYLET ENTERAL FEEDING TUBE WITH STYLET FPD CORPAK MEDSYSTEMS, INC. CORFLO-ULTRA LIT 8FR. 66215

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention