MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-07-01 for 16 FR LEVIN VENTROL * 85753 manufactured by Mallinckrodt Nellcor Puritan Bennett.
[300835]
While inserting ng tube, nurse could not get air advance through tube. The opening of ng pulled with plastic rubber. Only small opening. Ineffective for suction or advancing air.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1028945 |
| MDR Report Key | 471022 |
| Date Received | 2003-07-01 |
| Date of Report | 2003-07-01 |
| Date of Event | 2003-06-02 |
| Date Added to Maude | 2003-07-14 |
| 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 |
| Reporter Occupation | UNKNOWN |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | 16 FR LEVIN VENTROL |
| Generic Name | NG TUBE |
| Product Code | FRQ |
| Date Received | 2003-07-01 |
| Model Number | * |
| Catalog Number | 85753 |
| Lot Number | 0211000167 |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 459862 |
| Manufacturer | MALLINCKRODT NELLCOR PURITAN BENNETT |
| Manufacturer Address | 25495 WHITESELL STREET HAYWARD CA 94545 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2003-07-01 |