FDA Adverse Event Injury Summary report: N

ENTERAL FEEDING TUBE

MDR report key: 5055947 · Received September 4, 2015

Report

Report Number
5055947
Event Type
Injury
Date Received
September 4, 2015
Date of Event
August 9, 2015
Report Date
August 12, 2015
Manufacturer
CORPAK MEDSYSTEMS
Product Code
KNT
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
CT, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

NJT HAD HOLE IN IT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
587947 ENTERAL FEEDING TUBE KNT CORPAK MEDSYSTEMS

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization