BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO ULTRA NG FEEDING TUBE

    MDR report key: 7826256 · Received August 29, 2018

    Report

    Report Number
    7826256
    Event Type
    Malfunction
    Date Received
    August 29, 2018
    Date of Event
    July 18, 2018
    Report Date
    July 25, 2018
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    KNT
    UDI-DI
    10815149023547
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DOCTOR PLACED #8FR 43" CORFLO ENTERAL FEEDING TUBE IN PATIENT. PLACEMENT CONFIRMED BY X-RAY. DOCTOR THEN WAS UNABLE TO REMOVED STYLET, AND THE FEEDING TUBE WAS REMOVED. AFTER REMOVAL, STYLET STILL UNABLE TO BE REMOVED. CORFLO FEEDING TUBE PLACED IN THIS PATIENT BY MD, CXR CONFIRMED PLACEMENT. MD UNABLE TO REMOVE STYLET FROM TUBE. TUBE REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    667590 CORFLO ULTRA NG FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CORPAK MEDSYSTEMS, INC. 20-7438 79453 10815149023547

    Patients

    Seq Age Sex Outcome Treatment
    1