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Catalog Number 062941 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
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Event Date 11/01/2023 |
Event Type
Injury
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Event Description
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On an unknown date, a patient in netherlands underwent a procedure for the placement of percutaneous endoscopic gastrostomy (peg) tube with jejunal (peg-j) tube.On an unknown date, the patient experienced the inability to mobilize the tubing due to an ingrown peg tube.
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Manufacturer Narrative
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Reference record 2353178.The device involved in the event remained implanted in the patient and was not returned; therefore, a return sample evaluation is unable to be performed.Catalog number in d4 is the international list number which is similar to us list number of 062910.H6 code of 4581 was chosen to capture the event of buried bumper syndrome.Buried bumper syndrome is a known complication of a peg tube/ j-tube placement.If any further relevant information is identified or obtained, a supplemental medwatch will be filed.
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Search Alerts/Recalls
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