FDA Adverse Event
Summary report: N
MOSS NASOJEJUNAL TUBE
MDR report key: 850488
·
Received May 4, 2007
Report
- Report Number
- 850488
- Date Received
- May 4, 2007
- Date of Event
- March 26, 2007
- Report Date
- May 4, 2007
- Manufacturer
- MOSS TUBES, INC.
- Product Code
- FPD
- Report Source
- User Facility report
- Reporter Location
- ME, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PATIENT COMPLAINED THAT THE MOSS NASOJEJUNAL TUBE REMOVED WITH BALLOON INTACT. SURGEON REMOVING STATED NOT AWARE OF BALLOON ON TUBE; HOWEVER, ON INSPECTION OF TUBE NOTED THE BALLOON WAS DEFLATED. PATIENT PRESCRIBED TOPICAL GEL FOR DISCOMFORT. NO PERMANENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MOSS NASOJEJUNAL TUBE | TUBE, NASOGASTRIC | FPD | MOSS TUBES, INC. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR |