BAG SET, ENFITCONNECTOR NOT PROVIDED

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2016-03-14 for BAG SET, ENFITCONNECTOR NOT PROVIDED manufactured by Moog Medical Devices Group.

Event Text Entries

[40304150] The device in question is new to the market. It is one of the first enteral bag/administration sets to incorporate the new enfit connectors, which were specifically designed to be exclusively compatible with enteral feeding tubes. (b)(4) is one of the first companies to bring enfit connector-containing products to the market, but others will shortly follow suit. In fact, the enfit connectors are scheduled to become the industry standard over the course of 2015, with the older christmas-tree-style connectors scheduled to be phased out of the industry by early 2016. Since the introduction of the new enfit connector-containing enteral feeding sets earlier this year, (b)(4) has received a number of complaints about the new sets, the most common being that they leak in the vicinity of the purple enfit connector piece and the white transitional stepped connector. No injury to a patient was alleged in this particular complaint, and (b)(4) has not received any additional information indicating that a patient was or may have been harmed as a result of the reported event. (b)(4) would not normally submit an mdr for this event, but is doing so now because this particular issue (leaky enfit connector) has caused a reportable injury to a patient within the last two years. The complainant did not return the affected set(s) for evaluation. The complainant did not provide a model number or lot number for the device. (b)(4) will cease production of all its enteral administration sets using enfit connectors and transition back to the previous revision of the product codes that do not include the enfit connector ((b)(4)). The previous revision includes neither the enfit connector nor the transitional connector. This revision does not exhibit the same degree of leaking, nor has it experienced any adverse reaction to formula ingredients. (b)(4) will produce the previous revision until a suitable solution to the enfit connector material degradation problem is found.
Patient Sequence No: 1, Text Type: N, H10


[40304151] The initial reporter stated the following: leaking and loose fitting connection. The reporter did not provide lot specific information or a specific date the event occured. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722139-2016-00305
MDR Report Key5499451
Report SourceDISTRIBUTOR
Date Received2016-03-14
Date of Report2016-03-14
Date Mfgr Received2015-05-15
Date Added to Maude2016-03-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. MATT BRINKERHOFF
Manufacturer Street4314 ZEVEX PARK LANE
Manufacturer CitySALT LAKE CITY UT 84123
Manufacturer CountryUS
Manufacturer Postal84123
Manufacturer Phone8012641001
Manufacturer G1MOOG MEDICAL DEVICES GROUP, SRL
Manufacturer StreetCOYOL FREE ZONE AND BUSINESS PARK
Manufacturer CityALAJUELA, SAN JOSE 20113
Manufacturer CountryCS
Manufacturer Postal Code20113
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number1722139-11/19/15-001-C
Event Type3
Type of Report3

Device Details

Brand NameBAG SET, ENFITCONNECTOR
Generic NameENTERAL FEEDING SET
Product CodePIO
Date Received2016-03-14
Model NumberNOT PROVIDED
Catalog NumberNOT PROVIDED
Lot NumberNOT PROVIDED
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMOOG MEDICAL DEVICES GROUP
Manufacturer Address4314 ZEVEX PARK LANE SALT LAKE CITY UT 84123 US 84123


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-14

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