CORFLO NG/NI FEEDING TUBE WITH STYLET WITH ENFIT® CONNECTOR
Report
- Report Number
- 9611594-2026-00042
- Event Type
- Malfunction
- Date Received
- February 6, 2026
- Date of Event
- January 5, 2026
- Report Date
- February 6, 2026
- Manufacturer
- AVANOS MEDICAL INC.
- Product Code
- KNT
- UDI-DI
- 00350770460383
- PMA / PMN Number
- K821906
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NZ
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE DEVICE HISTORY RECORD FOR THE REPORTED LOT NUMBER, 30358190, IN THIS COMPLAINT WAS REVIEWED AND THE MATERIAL WAS PRODUCED ACCORDING TO THE MANUFACTURING PROCEDURES AND MET THE QUALITY REQUIREMENTS. HE ACTUAL COMPLAINT PRODUCT WAS NOT RETURNED FOR EVALUATION. ALL INFORMATION REASONABLY KNOWN AS OF 06-FEB-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 21 CFR 803, 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.
IT WAS REPORTED A NASOJEJUNAL TUBE (NJT) THAT RUPTURED. THE DEVICE WAS INSERTED (B)(6) 2025 VIA RADIOLOGY, PATIENT SELF-REMOVED THE DEVICE ON (B)(6) 2025. THE NJT WAS THEN RE-INSERTED ON THE WARD, (B)(6) 2025, PLACEMENT WAS CONFIRMED BY ABDOMINAL X-RAY. ON (B)(6) 2026 THE DEVICE WAS PLACED AND THE PATIENT WAS PLACED RIGHT SIDE DOWN AND HAD AN ABDOMINAL X-RAY TO CONFIRM POSITION. THE PATIENT WAS PLACED IN A RIGHT LATERAL POSITION. THE TUBE WAS ADVANCED 1-2 CM AT A TIME, WHILE INSTILLING 5 -10 ML OF AIR AND AUSCULTATING THE ABDOMEN UNTIL THE TUBE WAS FURTHER ADVANCED BY 6CM. "THE PATIENT HAD INCREASED MILKY ASPIRATES VIA THEIR NGT, WHEN THE PATIENT WAS FEEDING VIA NJT. GASTRO [TEAM] REVIEWED REGARDING INCREASED GASTRIC OUTPUTS. WAS 50-100MLS LAST 2/7 DAYS, OUTPUTS THEN INCREASED TO 230-280MLS. OUTPUT PREVIOUSLY YELLOW IN COLOUR NOW MILKY OUTPUT." ANTERIOR X-RAY (AXR) PERFORMED (B)(6) 2026 "NJT IN D3-D4 SAME AS AXR (B)(6) 2025. PLAN FROM GASTRO [TEAM] TO FURTHER ADVANCE NJT TO THE CORRECT PLACEMENT. NURSING TEAM ADVANCED 6CM TO 47CM. X-RAY DONE AT 1830 TO CONFIRM PLACEMENT. FRACTURED TIP MISSED ON REVIEW. THE FOLLOWING MORNING ON MEDICAL ROUNDS (B)(6) 2026 NJT FRACTURE NOTED ON X-RAY. 10-15CM DISTAL SEGMENT BETWEEN STOMACH AND DUODENUM...SURGICAL TEAM CONTACTED FOR ADVICE. [REGISTERED NURSE] RN SLOWLY REMOVED NJT AND THE TIP WAS STILL INTACT BY A THREAD, THE ENTIRE NJT WAS REMOVED...THE PATIENT WAS ON A CONTINUOUS FORMULA FEED VIA THE NJ 40MLS/HR. MEDICATIONS WERE ALSO ADMINISTERED VIA THE NJT. SYRINGE SIZE VARIED FROM 1-5ML SYRINGES FOR MEDICATIONS AND THEN 10ML SYRINGES FOR FLUSHING." THE NURSING STAFF NOTED THEY WOULD CHECK FOR A 'SNAP BACK' BEFORE ADMINISTERING MEDICATIONS ETC. A 10ML SYRINGE WAS USED FOR THIS. ADDITIONAL CLARIFICATION INFORMATION FOR THIS EVENT NOTES "THE PATIENT HAD THE FEEDING TUBE INSERTED AS AN NJT, THE TUBE NEEDED FURTHER ADVANCING BY 6CMS. THE CORRECT TECHNIQUES WERE FOLLOWED TO FURTHER ADVANCE THE TUBE, WITH NO WIRE USED TO ADVANCE. AN X-RAY WAS COMPLETED POST ADVANCING THE TUBE, WHICH SHOWED THE FEEDING TUBE TO BE FRACTURED. FORTUNATELY, THE WHOLE FEEDING TUBE WAS ABLE TO BE REMOVED FROM THE PATIENT AS THE FRACTURED END WAS STILL CONNECTED BY A THREAD." THERE WAS NO REPORTED INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 345952 | CORFLO NG/NI FEEDING TUBE WITH STYLET WITH ENFIT® CONNECTOR | DH CPK NG TUBES | KNT | AVANOS MEDICAL INC. | 40-9226 | 30358190 | 00350770460383 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 5 MO | Unknown |