BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO ULTRA NG FEEDING TUBE

    MDR report key: 8357192 · Received February 21, 2019

    Report

    Report Number
    8357192
    Event Type
    Malfunction
    Date Received
    February 21, 2019
    Date of Event
    November 3, 2018
    Report Date
    November 12, 2018
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NG TUBING WITH A HOLE BY THE INJECTION PORT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    151025 CORFLO ULTRA NG FEEDING TUBE TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CORPAK MEDSYSTEMS, INC. 20-7368 0202968410

    Patients

    Seq Age Sex Outcome Treatment
    1