MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-02-15 for MILLER-ABBOTT TUBE 205000 manufactured by Rusch, Inc..
[13911]
Pt admitted for intestinal obstruction. Tube inserted by physician on 2/6/95, at 5:50 pm. Upright abdomen x-ray ordered for 2/7/95 am. Physician read x-ray after completed. Alerted nursing unit when he arrived on unit 2/7/95 am. Removed ma tube, due to leakage of mercury into stomach from balloon on tube. New tube inserted per md.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 20725 |
| MDR Report Key | 20725 |
| Date Received | 1995-02-15 |
| Date of Report | 1995-02-14 |
| Date of Event | 1995-02-07 |
| Date Facility Aware | 1995-02-07 |
| Report Date | 1995-02-07 |
| Date Added to Maude | 1995-03-28 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MILLER-ABBOTT TUBE |
| Generic Name | MILLER-ABBOTT TUBE |
| Product Code | FEF |
| Date Received | 1995-02-15 |
| Catalog Number | 205000 |
| ID Number | CH16 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 20610 |
| Manufacturer | RUSCH, INC. |
| Manufacturer Address | NEW YORK NY 10010 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1995-02-15 |