Brand Name | NUTRI-CATH WITH NUTRI-LOK SILICONE FEEDING TUBE |
Type of Device | TUBES, GASTROINTESTINAL (AND ACCESSORIES) |
Manufacturer (Section D) |
UTAH MEDICAL PRODUCTS, INC. |
midvale UT 84047 |
|
MDR Report Key | 8231201 |
MDR Text Key | 133066299 |
Report Number | MW5082954 |
Device Sequence Number | 1 |
Product Code |
KNT
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
01/07/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/08/2019 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 10/25/2023 |
Device Model Number | 4155037 |
Device Lot Number | 1182191 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Was Device Evaluated by Manufacturer? |
No Information
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 14 DA |
|
|