inforMED
MalfunctionEZK

MALECOT RUSSEL GASTROSTOMY CATHETER

Received Nov 11, 2005 · Event occurred Sep 28, 2005

Report 1820334-2005-00296 · MDR key 755673

Device

Generic name

Catheter

Manufacturer

Cook, Inc.

Model number

NA

Catalog number

ULT10.2-NT-23-P-NS-

Lot number

UNK

Product problems

  • Migration or Expulsion of Device
  • Replace
  • Material Separation

Patient

Not reported

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

CATHETER WAS PLACED IN AN OUTPT IN 2005. IT WAS SPONTANEOUSLY EXITED ON THE SAME DAY. THE PHYSICIAN FELT THIS SITUATION OCCURRED DUE TO THE SOFTER MATERIAL OF THE TUBING. A REPLACEMENT WAS USED.

Additional Manufacturer Narrative

EVALUATION: THE DEVICE WAS RETURNED IN A USED CONDITION. AN EXAMINATION FOUND THE INNER CATHETER SLIGHTLY ELONGATED NEAR THE BLACK INDICATOR LINE. DURING TESTING, THE INNER CATHETER SEPARATED FROM ITS BONDED POSITION AT THE DISTAL TIP EASILY WHEN PULLED. AN EXAMINATION OF THIS AREA FOUND NO EVIDENCE THAT THE TUBING WAS PROPERLY BONDED AT TIME OF MANUFACTURE.