BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO

    MDR report key: 10074358 · Received May 20, 2020

    Report

    Report Number
    10074358
    Event Type
    Malfunction
    Date Received
    May 20, 2020
    Date of Event
    March 2, 2020
    Report Date
    May 7, 2020
    Manufacturer
    AVANOS MEDICAL, INC.
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NASOGASTRIC TUBE (NGT) PLACED, FEED STARTED. PATIENT 3/4 OF WAY THROUGH FEED AND NGT FOUND SPRAYING FORMULA OUT THE SIDE OF TUBE OUT OF A SMALL HOLE. NGT REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    541161 CORFLO TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT AVANOS MEDICAL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1