BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 702939 · Received April 12, 2006

    Report

    Report Number
    702939
    Event Type
    Malfunction
    Date Received
    April 12, 2006
    Date of Event
    April 3, 2006
    Report Date
    April 11, 2006
    Manufacturer
    BALLARD
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    GASTRIC TUBE PLACE IN 2006. GASTRIC TUBE FOUND IN PT.'S BED ON 04/2006. NO HARM TO PT. BULB MAY HAVE BURST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * GASTRIC TUBE 16 FR SCC KNT BALLARD * *

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other