BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MALLINCKRODT MEDICAL, INC.

    MDR report key: 69989 · Received January 9, 1997

    Report

    Report Number
    69989
    Event Type
    Injury
    Date Received
    January 9, 1997
    Date of Event
    November 8, 1996
    Report Date
    November 18, 1996
    Manufacturer
    MALLINCKRODT MEDICAL, INC.
    Product Code
    KOD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FEEDING TUBE (8 FR) USED IN ATTEMPT TO CATHERIZE INFANT. UNABLE TO REMOVE. X-RAY TAKEN. TUBE FOUND TO BE IN KNOT IN URETHRA. PT TAKEN TO SURGERY AND TUBE REMOVED SUCCESSFULLY. INVESTIGATION REVEALS NO DEVICE MALFUNCTION OR DEFECT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MALLINCKRODT MEDICAL, INC. INFANT FEEDING TUBE KOD MALLINCKRODT MEDICAL, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 26 DAY Required Intervention
    2