FDA Adverse Event Malfunction Summary report: N

UNKNOWN CORFLO NASOGASTRIC TUBE

MDR report key: 24562354 · Received March 10, 2026

Report

Report Number
9611594-2026-00122
Event Type
Malfunction
Date Received
March 10, 2026
Report Date
March 10, 2026
Manufacturer
AVANOS MEDICAL INC.
Product Code
KNT
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE SAMPLE IS REPORTED TO BE AVAILABLE BUT HAS NOT YET BEEN RECEIVED BY THE MANUFACTURER. A REVIEW OF THE DEVICE HISTORY RECORD IS NOT POSSIBLE AS NO LOT NUMBER WAS PROVIDED; THEREFORE, THE UDI-PI IS UNAVAILABLE. ALL INFORMATION REASONABLY KNOWN AS OF 10 MAR 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 REPORTED EVENT BUT IS RELAYING THE INFORMATION PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE AVANOS MEDICAL COMPLAINT DATABASE AND IDENTIFIED AS COMPLAINT (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, 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.

Description of Event or Problem · 0

AVANOS MEDICAL INC. RECEIVED A SINGLE REPORT THAT REFERENCED DIFFERENT INCIDENTS, WHICH WERE ASSOCIATED WITH SEPARATE UNITS, INVOLVING ONE PATIENT. THIS IS THE THIRD OF THREE REPORTS. REFER TO 9611594-2026-00120 FOR THE FIRST REPORT, REFER TO 9611594-2026-00121 FOR THE SECOND REPORT. IT WAS REPORTED, REPEATED BREAKAGE OF THE Y-PORT ON A 6FR CORFLO NASOGASTRIC TUBE. THE Y-PORT SEPARATED AT THE CONNECTION POINT ON THREE SEPARATE OCCASIONS OVER A PERIOD OF LESS THAN FOUR WEEKS OF USE. NO PATIENT INJURY OCCURRED, AND NO MEDICAL INTERVENTION WAS REQUIRED BEYOND ROUTINE TUBE REPLACEMENT. THE FAMILY HAD BEEN SECURING THE TUBE WITH MASKING TAPE. THE USER REPORTED NO DIFFICULTIES WITH INSERTION AND NO USE OF OILS, OIL-BASED MEDICATIONS, OR MCT OIL. A REPLACEMENT 8FR, 91CM TUBE WAS LATER PLACED TO ADDRESS THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
617248 UNKNOWN CORFLO NASOGASTRIC TUBE DH CPK NG TUBES KNT AVANOS MEDICAL INC. UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Male