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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AVANOS MEDICAL INC. NEOMED FEEDING TUBE WITH ENFIT CONNECTOR; DH NASOGASTRIC (NG) FEEDING TUBES (NEOMED AND NEOCONNECT)

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AVANOS MEDICAL INC. NEOMED FEEDING TUBE WITH ENFIT CONNECTOR; DH NASOGASTRIC (NG) FEEDING TUBES (NEOMED AND NEOCONNECT) Back to Search Results
Model Number PFTS6.5P-NC
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code Insufficient Information (4580)
Type of Reportable Event Malfunction
Event or Problem Description
The failure analysis laboratory received an extra sample.The returned sample exhibited damage (tear/hole).No additional incident information, patient information, or lot number was available.
 
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.No original packaging or additional components were received.Water infusion testing confirmed leakage under the y-port.Examination under 30× magnification identified a partial tubing split/tear with jagged edges.The reported condition was confirmed.A review of the device history record is not possible as a valid lot number was not provided; therefore, the udi-pi is unavailable.Root cause could not be determined.All information reasonably known as of 01 july 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 (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.
 
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Brand Name
NEOMED FEEDING TUBE WITH ENFIT CONNECTOR
Common Device Name
DH NASOGASTRIC (NG) FEEDING TUBES (NEOMED AND NEOCONNECT)
Manufacturer (Section D)
AVANOS MEDICAL INC.
5405 windward parkway
alpharetta GA 30004
Manufacturer (Section G)
NINGBO TIANYI MEDICAL APPLIANCE CO., LTD
no.788,mozhi north rd
tourism resort, dongqian lake
ningbo zhejiang, cn 31512 1
CH   315121
Manufacturer Contact
tamara cardona
5405 windward parkway
alpharetta, GA 30004
4704485487
MDR Report Key25678208
Report Number3011270181-2026-00096
Device Sequence Number4657238
Product Code FPD
UDI-Device Identifier00350770001784
UDI-Public(01)00350770001784
Combination Product (Y/N)N
Initial Reporter StateMT
Initial Reporter CountryUS
PMA/510(K) Number
K082238
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 07/01/2026
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 NumberPFTS6.5P-NC
Device Catalogue NumberPFTS6.5P-NC
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/19/2025
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 06/19/2025
Initial Report FDA Received Date07/01/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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