BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO NG TUBE

    MDR report key: 5546801 · Received April 1, 2016

    Report

    Report Number
    MW5061448
    Event Type
    Malfunction
    Date Received
    April 1, 2016
    Date of Event
    March 22, 2016
    Report Date
    March 24, 2016
    Manufacturer
    CORPAK MEDSYSTEMS INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE BASE OF NG TUBE CAME APART FROM THE TUBE. NO HARM TO INFANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    197898 CORFLO NG TUBE ANTI-I.V. NG TUBE KNT CORPAK MEDSYSTEMS INC.

    Patients

    Seq Age Sex Outcome Treatment
    1