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U.S. Department of Health and Human Services

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

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AVANOS MEDICAL INC. CORFLO NG/NI FEED TUBE WITH STYLET WITH ENFIT CONNECTOR; DH CPK NG TUBES Back to Search Results
Model Number 40-9368
Medical Device Problem Codes Complete Blockage (1094); Material Puncture/Hole (1504); Difficult to Remove (1528)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/30/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The sample is reportedly available for this complaint but was not returned when this report was filed.A review of the device history record for the provided is in-progress.All information reasonably known as of (b)(6) 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.
 
Event or Problem Description
It was reported "patient's ng "[nasogastric tube]" sluggish to flush with initial meds, however, same able to be instilled.Rn "[registered nurse]" attempted to relieve.Obstruction but still very sluggish to flush.Planned to replace ng while patient sedated and intubated.However, ng unable to be removed and was stuck.When patient was extubated, ng was able to be removed.Large hole seen in middle of tube.Rn inserted new ng without incident." there was no reported injury.
 
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Brand Name
CORFLO NG/NI FEED 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 84048
Manufacturer Contact
tamara cardona
5405 windward parkway
alpharetta, GA 30004
+1(470)448-5487
MDR Report Key25399090
Report Number9611594-2026-00403
Device Sequence Number10718427
Product Code KNT
UDI-Device Identifier00350770460437
UDI-Public(01)00350770460437(240)104604302(17)300701(10)30369859
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K821906
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
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) 09/23/2026
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 Number40-9368
Device Catalogue Number40-9368
Device Lot Number30369859
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/05/2026
Supplement Date Received by Manufacturer08/24/2026
Initial Report FDA Received Date06/04/2026
Supplement Report FDA Received Date09/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/09/2025
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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