FDA Feeding Tube Placement Letter
FDA is giving healthcare providers information about reports of pneumothorax events associated with feeding tube placement procedures using enteral access systems. A MedWatch notice says most reports indicate the pulmonary events required urgent intervention, including needle decompression or chest tube placement. Several of the events were associated with cardiopulmonary arrest and patient death, FDA says.
From 1/2012 to 7/2017, the agency says, FDA received 51 Medical Device Reports (MDRs) about pneumothorax events related to the use of the Corpak Medsystems Cortrak 2 device. There also were 28 MDRs about events related to use of the Covidien Kangaroo device. For both devices, the notice says, the relationship between the pulmonary events and the death cannot be concluded definitively in all cases.
“Because the MDR system is based on passive surveillance,” the notice says, “FDA cannot determine how the rate of these complications compares to that estimated for blind insertion.”
The notice includes agency recommendations for enteral access systems in general, with additional recommendations for the Contrak 2 device in particular.