MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-12 for CORFLO ULTRA NG FEEDING TUBE 20-7431AIV2 manufactured by Halyard Health, Inc..
[110742750]
Patient Sequence No: 1, Text Type: N, H10
[110742751]
Dobhoff feeding tube inserted and placement confirmed. When nurse administered medications, they came out of a slit/hole in the tubing. Tubing removed; new tubing inserted. The patient was not harmed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 7591254 |
| MDR Report Key | 7591254 |
| Date Received | 2018-06-12 |
| Date of Report | 2018-06-07 |
| Date of Event | 2018-05-16 |
| Report Date | 2018-05-29 |
| Date Reported to FDA | 2018-05-29 |
| Date Reported to Mfgr | 2018-05-29 |
| Date Added to Maude | 2018-06-12 |
| 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 | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CORFLO ULTRA NG FEEDING TUBE |
| Generic Name | TUBE, FEEDING |
| Product Code | FPD |
| Date Received | 2018-06-12 |
| Model Number | 20-7431AIV2 |
| Catalog Number | 20-7431AIV2 |
| Lot Number | 78691 |
| Operator | NURSE |
| Device Availability | Y |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | HALYARD HEALTH, INC. |
| Manufacturer Address | 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 US 30004 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-06-12 |