BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLOG ZAPPER ENTERAL FEEDING TUBE DECLOGGING SYSTEM

    MDR report key: 8398842 · Received March 7, 2019

    Report

    Report Number
    8398842
    Event Type
    Malfunction
    Date Received
    March 7, 2019
    Date of Event
    January 8, 2019
    Report Date
    January 16, 2019
    Manufacturer
    CORPAK MEDSYSTEMS, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    STAFF COMPLETING AUDITS FOR EXPIRATION DATES, CLOGG ZAPPER FEEDING TUBE PRODUCT STATED: EXPIRES 2011 BUT WAS MANUFACTURED 2018.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    191420 CLOG ZAPPER ENTERAL FEEDING TUBE DECLOGGING SYSTEM TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT CORPAK MEDSYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1