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U.S. Department of Health and Human Services

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

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AVANOS MEDICAL INC. CORFLO NASOGASTRIC/NASOINTESTINAL FEEDING TUBE WITH STYLET; DH CPK NG TUBES Back to Search Results
Model Number 42-7361
Medical Device Problem Code Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/13/2024
Type of Reportable Event Malfunction
Event or Problem Description
Avanos medical inc.Received a single report that referenced three different incidents, which were associated with separate units.This is the first of three reports.Refer to 9611594-2026-00505 for the second report.Refer to 9611594-2026-00506 for the third report.The customer reported that three corflo feeding tubes were found with holes below the y-connector during use.The devices were replaced with new feeding tubes.No patient injury was reported.
 
Additional Manufacturer Narrative
This event was initially deemed not reportable based on our reporting strategy active at the time of the alert date; however, following a recent retrospective review of complaints this event was made reportable out of an abundance of caution.Two returned feeding tube samples were evaluated.Water infusion confirmed tubing damage (tear/hole) in both samples.Examination under magnification identified dent marks, jagged/wrinkled tubing surfaces below the y-connector, and lines/indentations on the inner tubing walls.The reported condition was confirmed.The device history record for lot 20112929 was reviewed and the product was produced according to product specifications.Root cause could not be determined.All information reasonably known as of 25 jun 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 reported event but is relaying the information provided by the user facility where the incident occurred.This product incident is documented in the avanos medical 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 NASOGASTRIC/NASOINTESTINAL FEEDING TUBE WITH STYLET
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
MX   84048
Manufacturer Contact
tamara cardona
5405 windward parkway
alpharetta, GA 30004
4704485487
MDR Report Key25624031
Report Number9611594-2026-00504
Device Sequence Number9101469
Product Code KNT
UDI-Device Identifier00350770460802
UDI-Public(01)00350770460802(240)104608002(17)280903(10)20112929
Combination Product (Y/N)N
Initial Reporter CountryJA
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,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 06/25/2026
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
Device Model Number42-7361
Device Catalogue Number42-7361
Device Lot Number20112929
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/06/2024
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/15/2024
Initial Report FDA Received Date06/25/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/19/2023
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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