BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NUTRI-CATH WITH NUTRI-LOK

    MDR report key: 8228183 · Received January 7, 2019

    Report

    Report Number
    MW5082931
    Event Type
    Malfunction
    Date Received
    January 7, 2019
    Date of Event
    December 21, 2018
    Report Date
    January 4, 2019
    Manufacturer
    UTAH MEDICAL PRODUCTS, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NASOGASTRIC TUBE OCCLUDED. PT FEEDING 24 CALORIE BREAST MILK WITH HMF. BREAST MILK FORTIFIED IN MILK LAB. SYRINGE WARMED IN BREAST MILK WARMER, GENTLY SHAKEN. PREVIOUS FEEDING HAD FLORAGEN MIXED IN IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    15368 NUTRI-CATH WITH NUTRI-LOK TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT UTAH MEDICAL PRODUCTS, INC. 4155037 1182191

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO