BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO-ULTRA NG WITH STYLET

    MDR report key: 6759825 · Received August 2, 2017

    Report

    Report Number
    6759825
    Event Type
    Malfunction
    Date Received
    August 2, 2017
    Date of Event
    May 4, 2017
    Report Date
    July 14, 2017
    Manufacturer
    CORPAK MEDSYSTEMS
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE RN WENT TO SUPPLY ROOM TO OBTAIN NGT. FOUND THAT 2 NGT PACKAGING AND BIN TO HAVE MOLD IN IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    542436 CORFLO-ULTRA NG WITH STYLET TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CORPAK MEDSYSTEMS 76272

    Patients

    Seq Age Sex Outcome Treatment
    1