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MalfunctionEZK

WILLS-OGLESBY GASTROSTOMY CATHETER

Received Dec 13, 2007 · Event occurred Nov 13, 2007

Report 1820334-2007-00489 · MDR key 963381

Device

Generic name

Ezk- Special Set

Manufacturer

Cook, Inc.

Model number

NA

Catalog number

ULT12.0-38-35-P-12

Lot number

F2094835

Product problems

  • Other (for use when an appropriate device code cannot be identified)

Patient

YR

  • Other (for use when an appropriate patient code cannot be identified)

Narrative

Description of Event or Problem

INFO WAS PROVIDED THAT THE PHYSICIAN EXPERIENCED GREAT DIFFICULTY IN REMOVING THE TUBE FROM THE PT, REQUIRING INCREASED AMOUNTS OF ANALGESIA TO THE PT. UPON REMOVAL, IT WAS NOTED THAT THE TUBE HAD TIED ITSELF INTO A KNOT.

Additional Manufacturer Narrative

EVALUATION: NO PRODUCT WAS RETURNED TO ASSIST IN OUR INVESTIGATION, HOWEVER, PHOTOS WERE PROVIDED, WHICH SHOWED THE TUBING HAS KNOTTED. BASED ON THE INFO PROVIDED AND THE CONDITION OF THE DEVICE IN THE PHOTO IMAGES, IT IS FEASIBLE TO SAY THE KNOT FORMED DURING PLACEMENT, AS THE RESULT OF PT ANATOMY OR POSSIBLE PT INTERVENTION. IT SHOULD BE NOTED THIS IS A SOFT, PLIABLE TUBING DESIGNED FOR PT COMFORT, THAT CAN BE MANIPULATED.