BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFIO NG TUBE

    MDR report key: 5546802 · Received April 1, 2016

    Report

    Report Number
    MW5061449
    Event Type
    Malfunction
    Date Received
    April 1, 2016
    Date of Event
    November 7, 2015
    Report Date
    February 24, 2016
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    FPD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NG CAME APART WHERE TUBING ENTERS HUB. NO APPARENT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    197917 CORFIO NG TUBE ANTI - I.V. NG TUBING FPD CORPAK MEDSYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1