BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    16 FR LEVIN VENTROL

    MDR report key: 471022 · Received July 1, 2003

    Report

    Report Number
    MW1028945
    Event Type
    Malfunction
    Date Received
    July 1, 2003
    Date of Event
    June 2, 2003
    Report Date
    July 1, 2003
    Manufacturer
    MALLINCKRODT NELLCOR PURITAN BENNETT
    Product Code
    FRQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    WHILE INSERTING NG TUBE, NURSE COULD NOT GET AIR ADVANCE THROUGH TUBE. THE OPENING OF NG PULLED WITH PLASTIC RUBBER. ONLY SMALL OPENING. INEFFECTIVE FOR SUCTION OR ADVANCING AIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 16 FR LEVIN VENTROL NG TUBE FRQ MALLINCKRODT NELLCOR PURITAN BENNETT * 0211000167

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Other