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 |