| Brand Name | ENFit PVC Feeding Tube Purple |
| 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
|
|
+1(470)448-5487
|
|
| MDR Report Key | 50054397 |
| Report Number | 3011270181-2026-00135 |
| Device Sequence Number | 9518493 |
| Product Code |
KNT
|
| UDI-Device Identifier | 00350770001036 |
| UDI-Public | (01)00350770001036 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CA |
| PMA/510(K) Number | K120182 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Health Professional,User Facility,Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/28/2026 |
| 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 | PFTL8.0V-NC |
| Device Catalogue Number | PFTL8.0V-NC |
| Device Lot Number | Unknown |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/16/2024 |
| 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 | 08/08/2024 |
| Initial Report FDA Received Date | 07/28/2026 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|