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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AVANOS MEDICAL INC. CORFLO NG/NI FEEDING TUBE WITH STYLET WITH ENFIT CONNECTOR; DH CPK NG TUBES

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AVANOS MEDICAL INC. CORFLO NG/NI FEEDING TUBE WITH STYLET WITH ENFIT CONNECTOR; DH CPK NG TUBES Back to Search Results
Model Number 40-9226
Medical Device Problem Code Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The actual complaint product was returned for evaluation.A review of the device history record and udi number are in-progress.All information reasonably known as of 19-dec-2025 has been included in this health authority report.Should additional information be obtained, a follow-up health authority report will be provided.The information provided by avanos medical, inc.Represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to avanos medical, inc.Avanos medical, inc.Has no independent knowledge of the event reported but is relaying the information that was provided by the user facility where the incident occurred.This product incident is documented in the avanos medical, inc.Complaint database and identified as complaint (b)(4).This information is submitted pursuant to 21 cfr 803, in compliance with the medical device reporting requirement and should not be considered to be an admission that an avanos medical, inc.Product is defective or caused serious injury.
 
Event or Problem Description
It was reported inserting the nasogastric (ng) into the patient the registered nurses (rn's) noticed stomach content leaking onto the bed from the exterior end of the ng tube."upon further inspection, a crack in the ng was noted and that is where the content was coming out of.Another ng tube was inserted.There was no reported injury.
 
Additional Manufacturer Narrative
The device history record for the reported lot number, 30355481, in this complaint was reviewed and the material was produced according to the manufacturing procedures and met the quality requirements.The device was evaluated and the incident reported has been confirmed per sample evaluation, returned sample device was examined and infused with water showing that the tubing had signs of damages (tear/hole).There was external dent marks identified after the sample was inspected under magnification just below the y-connector.Root cause could not be determined.All information reasonably known as of 12-mar-2026 has been included in this health authority report.Should additional information be obtained, a follow-up health authority report will be provided.The information provided by avanos medical, inc.Represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to avanos medical, inc.Avanos medical, inc.Has no independent knowledge of the event reported but is relaying the information that was provided by the user facility where the incident occurred.This product incident is documented in the avanos medical, inc.Complaint database and identified as complaint (b)(4).This information is submitted pursuant to 21cfr803, in compliance with the medical device reporting requirement and should not be considered to be an admission that an avanos medical, inc.Product is defective or caused serious injury.
 
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Brand Name
CORFLO NG/NI FEEDING TUBE WITH STYLET WITH ENFIT CONNECTOR
Common Device Name
DH CPK NG TUBES
Manufacturer (Section D)
AVANOS MEDICAL INC.
5405 windward parkway
alpharetta GA 30004
Manufacturer (Section G)
AVENT SA DE R.L. DE C.V. (AVENT 1)
circuito industial no.40
colonia obrera
nogales, cp
Manufacturer Contact
tamara cardona
5405 windward parkway
alpharetta, GA 30004
4704485487
MDR Report Key23857645
Report Number9611594-2025-00328
Device Sequence Number10116504
Product Code KNT
UDI-Device Identifier00350770460437
UDI-Public(01)00350770460437(240)104604302(17)2300203(10)30355481
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K821906
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,User Facility,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 03/12/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number40-9226
Device Catalogue Number40-9226
Device Lot Number30290723
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/04/2025
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/20/2025
Supplement Date Received by Manufacturer03/12/2026
Initial Report FDA Received Date12/19/2025
Supplement Report FDA Received Date03/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/12/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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