MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-01-07 for E060830 REFERENCE # manufactured by .
[3064712]
A 6fr ng tube was intact for 0200 feeding. At 0400, end of tube was broken off and lying in crib with remainder of tube still in nare. Tube removed and new one placed. X-ray completed to confirm appropriate placement.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5028484 |
| MDR Report Key | 2906573 |
| Date Received | 2013-01-07 |
| Date of Report | 2012-12-31 |
| Date of Event | 2012-12-28 |
| Date Added to Maude | 2013-01-11 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Generic Name | NGT 6FR |
| Product Code | BSS |
| Date Received | 2013-01-07 |
| Model Number | E060830 REFERENCE # |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2013-01-07 |