FDA Adverse Event
Malfunction
Summary report: N
CORTRAK 2 EAS ELECTROMAGNETIC TRANSMITTING STYLET AND CORFLO FEEDING TUBE
MDR report key: 6960968
·
Received October 19, 2017
Report
- Report Number
- 6960968
- Event Type
- Malfunction
- Date Received
- October 19, 2017
- Date of Event
- October 4, 2017
- Report Date
- October 12, 2017
- Manufacturer
- CORPAK MEDSYSTEMS, INC.
- Product Code
- KNT
- UDI-DI
- 10815149023608
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
UPON PREPARING A CORTRAK 2 FEEDING TUBE FOR INSERTION, THE RN NOTICED THE GUIDE-WIRE PROTRUDING INTO THE EXIT OPENING OF THE TUBE. THE TUBE WAS REMOVED FROM SERVICE. HIS SAFETY CONCERN IS THAT THE GUIDE-WIRE COULD POTENTIALLY HARM A PATIENT IF INSERTED. THE GUIDE-WIRE TIPS ARE TYPICALLY A COUPLE OF CENTIMETERS PROXIMAL TO THE TIP OF THE TUBE. THE RN DIRECTLY INVOLVED IN THIS EVENT CONTACTED THE CORPAK MEDSYSTEMS/HALYARD SALES REP IMMEDIATELY, AND SHE STATED SHE WOULD CONTACT HER QUALITY SERVICE DEPARTMENT AND WILL MAKE ARRANGEMENTS TO REPLACE OUR STOCK OF TUBES. UPON INSPECTION OF THE REMAINING UNOPENED TUBES IT APPEARS THERE ARE OTHER TUBES WITH SIMILAR ISSUES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 741760 | CORTRAK 2 EAS ELECTROMAGNETIC TRANSMITTING STYLET AND CORFLO FEEDING TUBE | TUBE, FEEDING | KNT | CORPAK MEDSYSTEMS, INC. | 20-9551TRAK2A | 79092 | 10815149023608 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |