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It was reported the patient's mucous fistula was being "refed taking ostomy content and refeeding through mucous fistula with a gastric tube at 9cm.The gastric tube "[was]" tied with a suture, and the suture strings are placed under the hollister appliance, and the tube "[was]" also secured by duoderm and ett "[endotracheal tube]" tape." the clinician changed mucous fistula appliance at 0750-hours due to leakage and was secure after changed.At 1020-hours the patient was crying and the clinician noted ostomy output on the blanket outside mucous fistula.The clinician noted that the gastric tube was "broken" off from the gastric tube hub.The gastric tube was noted to be stretched out and broken down due continuous acidic stool content moving through the tube.This resulted in the ostomy output draining into the bed and not the gastric tube.It is unknown when the gastric tube broke off.The hollister pouch remained intact.The charge clinician and team were notified, and the gastric tube was removed and area cleansed and dressed.The healthcare provider came to reinsert the gastric tube at 1210-hours, there were no complications and refeeding was resumed.".
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The actual complaint product was not returned for evaluation.A review of the device history record is not possible as no lot number was provided; therefore, the udi-pi is unavailable.The lot number was not provided by the customer.Root cause could not be determined.All information reasonably known as of 17-sep-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.
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