CORFLO NG/NI FEEDING TUBE WITH STYLET, ENFIT CONNECTOR
Report
- Report Number
- 9611594-2026-00066
- Event Type
- Malfunction
- Date Received
- February 18, 2026
- Date of Event
- January 2, 2026
- Report Date
- February 18, 2026
- Manufacturer
- AVANOS MEDICAL INC.
- Product Code
- KNT
- UDI-DI
- 00350770460338
- PMA / PMN Number
- K821906
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE ACTUAL COMPLAINT PRODUCT WAS NOT RETURNED FOR EVALUATION. THE DEVICE HISTORY RECORD FOR THE REPORTED LOT NUMBER, 30366991, IN THIS COMPLAINT WAS REVIEWED AND THE MATERIAL WAS PRODUCED ACCORDING TO THE MANUFACTURING PROCEDURES AND MET THE QUALITY REQUIREMENTS. ALL INFORMATION REASONABLY KNOWN AS OF 17-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 THE PROBE WAS, PASSED UNDER ENDOSCOPY, WHEN PERFORMING PERMEABILITY CHECK IS OBSERVED ORIFICE OUTLET, PERFORATED PROBE. THERE WAS NO REPORTED PATIENT INJURY. ADDITIONAL INFORMATION RECEIVED ON 27-JAN-2026 STATING THE PERFORATION OCCURRED OUTSIDE OF THE PATIENT, APPROXIMATELY AT THE 1-CM MARK OF THE 'Y' CONNECTOR. THE DEVICE WAS NOT RETAINED INSIDE OF THE PATIENT. MEDICAL INTERVENTION WAS NOT REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 441925 | CORFLO NG/NI FEEDING TUBE WITH STYLET, ENFIT CONNECTOR | DH CPK NG TUBES | KNT | AVANOS MEDICAL INC. | 40-7432 | 30366991 | 00350770460338 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 17 YR | Female |