BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO

    MDR report key: 12445819 · Received September 9, 2021

    Report

    Report Number
    12445819
    Event Type
    Malfunction
    Date Received
    September 9, 2021
    Date of Event
    August 25, 2021
    Report Date
    August 31, 2021
    Manufacturer
    AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH 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

    NGT (NASOGASTRIC TUBE) WAS PLACED. WHEN FEED STARTED FOUND TUBE WAS LEAKING THROUGH A HOLE NEAR THE CONNECTION SITE. NGT REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1344322 CORFLO TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.)

    Patients

    Seq Age Sex Outcome Treatment
    1