POLYURETHANE NUTRISAFE 2 FEEDING TUBES 1364.042

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-01 for POLYURETHANE NUTRISAFE 2 FEEDING TUBES 1364.042 manufactured by Vygon.

Event Text Entries

[106982544]
Patient Sequence No: 1, Text Type: N, H10


[106982545] Upon measuring the nutrisafe2 tube (nasogastric tube, ngt) against the patient, i noticed that the number measured at an abnormally long length for this particular baby. That is when i noticed that the numbers on the tubing were backwards. At this point, i placed the faulty tubing into a bag. The ngt was never inserted into the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7475214
MDR Report Key7475214
Date Received2018-05-01
Date of Report2018-04-24
Date of Event2018-03-15
Report Date2018-04-24
Date Reported to FDA2018-04-24
Date Reported to Mfgr2018-04-24
Date Added to Maude2018-05-01
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePOLYURETHANE NUTRISAFE 2 FEEDING TUBES
Generic NameTUBE, FEEDING
Product CodeFPD
Date Received2018-05-01
Model Number1364.042
Catalog Number1364.042
Lot Number150617FF
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerVYGON
Manufacturer Address2750 MORRIS RD SUITE A200 LANSDALE PA 19446 US 19446


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-01

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