| Brand Name | CORFLO NASOGASTRIC/NASOINTESTINAL 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 84048 |
|
MX
84048
|
|
| Manufacturer Contact |
|
tamara
cardona
|
| 5405 windward parkway |
| alpharetta, GA 30004
|
|
4704485487
|
|
| MDR Report Key | 25812184 |
| Report Number | 9611594-2026-00576 |
| Device Sequence Number | 20324643 |
| Product Code |
KNT
|
| UDI-Device Identifier | 00350770460420 |
| UDI-Public | (01)00350770460420 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K821906 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Consumer,Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/14/2026 |
| 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 Number | 40-9366 |
| Device Catalogue Number | 40-9366 |
| Device Lot Number | UNKNOWN |
| Was Device Available for Evaluation? |
No
|
| 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 | 12/18/2024 |
| Initial Report FDA Received Date | 07/14/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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 Number | 1 |
| Patient Sex | Female |
|
|