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