CARDINAL HEALTH
Received May 8, 2026 · Event occurred Jun 28, 2025
Report 1423537-2026-00149 · MDR key 25126102
Device
Generic name
Tubes, Gastrointestinal (and Accessories)
Manufacturer
Cardinal Health 200, LlcModel number
8884720858ECatalog number
8884720858E
Product problems
- Material Separation
Patient
NA · Unknown
- Foreign Body In Patient
Narrative
Additional Manufacturer Narrative
CORRECTION MADE TO TYPE OF REPORTABLE EVENT TO REFLECT SERIOUS INJURY AS MALFUNCTION WAS SELECTED IN ERROR ON THE FOLLOW UP REPORT FOR 1423537-2026-00149.
Additional Manufacturer Narrative
AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION THE RESULTS WILL BE FORWARDED.
Description of Event or Problem
THE CUSTOMER REPORTED THAT THE DOBHOFF TIP NG TUBE BROKE INTO TWO PIECES WHILE INDWELLING IN THE PATIENT. A PORTION OF THE FEEDING TUBE WAS RETAINED WITHIN THE PATIENT. THE BREAK OF THE TUBE OCCURRED AT 10CM MARK OF THE TUBE. THE TUBE WAS INDWELLING FOR 4 DAYS BEFORE BREAK. THE REMAINING PORTION OF TUBE WAS REMOVED ENDOSCOPICALLY. FEED HISTORY: JEVITY 1.5 CAL FORMULA WATER HISTORY: 6/7 400 ML 6 TIMES A DAY: 1649, 1845, 2056, 6/8 400 ML 6 TIMES A DAY: 0522, 0905, 1144, 1501, 1753, 2132, 6/9 400 ML 6 TIMES A DAY: 0654, 6/10 100 ML 6 TIMES A DAY: 0611, 6/10 200 ML 6 TIMES A DAY: 0942, 1221, 1408, 1743, 2222, 6/11 200 ML 6 TIMES A DAY: 0535, 0811, 1745 MEDICATION HISTORY: LIPITOR (TAB) ,DULCOLAX EC (TAB) *(ONE DOSE, 6/9 0912), VITAMIN D3 (TAB), CYANOCOBALAMIN (B12) (TAB), VASOTEC (TAB), MAGNESIUM OXIDE (TAB), GLYCOLAX, SENAKOT-S (TAB) SUPPLEMENT HISTORY: NONE. THE LOT NUMBER IS NOT KNOWN FOR THIS TUBE.