BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORFLO

    MDR report key: 12553703 · Received September 30, 2021

    Report

    Report Number
    12553703
    Event Type
    Malfunction
    Date Received
    September 30, 2021
    Date of Event
    September 13, 2021
    Report Date
    September 17, 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) PLACED, ABLE TO WITHDRAW TO CHECK PH. PUMP ALARMED FOR NO FLOW, NEW PUMP OBTAINED AND FEEDING BAG OBTAINED. NEW PUMP ALARMED FOR NO FLOW. ATTEMPTED TO FLUSH NGT, UNABLE TO FLUSH. NGT REMOVED AND NOTED TO HAVE SIGNIFICANT KINK. ORIGINAL PACKAGING DISCARDED, DEVICE AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1453980 CORFLO TUBES, GASTROINTESTINAL (AND ACCESSORIES) KNT AVANOS MEDICAL, INC. (FORMERLY HALYARD HEALTH INC.)

    Patients

    Seq Age Sex Outcome Treatment
    1