FDA Adverse Event Injury Summary report: N

COMPAT

MDR report key: 5491632 · Received March 10, 2016

Report

Report Number
5491632
Event Type
Injury
Date Received
March 10, 2016
Date of Event
February 15, 2016
Report Date
March 7, 2016
Manufacturer
NESTLE HEALTHCARE NUTRITION INC
Product Code
FPD
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE NURSE WENT TO HANG A NEW BAG OF TUBE FEEDING ON HIS PATIENT. WHEN HE TRIED TO SPIKE THE BAG, THE "SPIKE" NEVER PIERCED THE BAG AND THE ADAPTER PORTION TORE AWAY FROM THE BAG ITSELF. NEW BAG OF TUBE FEED HAD TO BE OBTAINED AND VERY LITTLE DELAY IN PATIENT TREATMENT OCCURRED. MANUFACTURER RESPONSE FOR 1.5 TUBE FEEDING BAG, 1.5 CAL (PER SITE REPORTER): THEY ARE SENDING ME SHIPPING MATERIAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
148818 COMPAT TUBE, FEEDING FPD NESTLE HEALTHCARE NUTRITION INC 02970

Patients

Seq Age Sex Outcome Treatment
1 NO OTHER THERAPIES