FDA Adverse Event Injury Summary report: N

ENTRACARE ULTRAFLO

MDR report key: 6512 · Received September 15, 1993

Report

Report Number
1819504-1993-00004
Event Type
Injury
Date Received
September 15, 1993
Report Date
July 27, 1993
Manufacturer
ENTECH, INC.
Product Code
FPD
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CO, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

PATIENT RECEIVED A PNEUMOTHORAX DURING AN INSERTION OF AN ENTRACARE ULTRAFLO NASOGASTRIC FEEDING TUBE. THE TUBE WAS INSERTED BY AN R.N. INSERTION ERROR REPORTED BY FACILITY. THE PATIENT HAD A DECREASED GAG REFLEX AND WAS NEUROLOGICALLY IMPAIRED. THE PATIENT REQUIRED CHEST TUBE INSERTION TO RESOLVE THE PNEUMOTHORAX. AS A RESULT OF THIS INCIDENT THE FACILITY HAS MODIFIED THEIR PROCEDURES FOR TUBE INSERTION. AN M.D. IS NOW REQUIRED TO PLACE NASOGASTRIC FEEDING TUBES, FOLLOWED UP WITH FLUROSCOPY OR X-RAY; M.D. TO DETERMINE.DEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE NOT USED AS LABELED/INDENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NONE OR UNKNOWN. RESULTS OF EVALUATION: FAILURE TO FOLLOW INSTRUCTIONS, INCORRECT TECHNIQUE/PROCEDURE. CONCLUSION: THERE WAS NO DEVICE FAILURE, USER ERROR CAUSED EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: MAYBE. CORRECTIVE ACTIONS: DEVICE DISCARDED, DEVICE USE CONTINUED WITH RESTRICTIONS/LIMITATIONS. THE DEVICE WAS DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENTRACARE ULTRAFLO NASOGASTRIC FEEDING TUBE FPD ENTECH, INC. UNKNOWN 23641

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention