Flow 20 G56403Recalls & reported problems
Cook Incorporated · FLOW 20 Percutaneous Endoscopic Gastrostomy Set - PULL · Class 2 · Implant
Data updated Oct 13, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 3
- Deaths reported
- 0
- Injuries reported
- 3
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 3 adverse event reports that list this exact device (DI 00827002564039), received between Feb 23, 2017 and May 20, 2019 — classified as 3 injuries.
The most frequently reported specific device problem is “Difficult to Advance” (1 report).
1 other recall cover devices cleared under the same FDA submission (K920703); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem2
- Difficult to Advance1
Patient problems
- Unspecified Infection2
- No Information1
Recent adverse event reports
The 3 most recent of 3 reports, in the reporter's own words as published by the FDA.
InjuryMay 20, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE FOLLOWING INFORMATION WAS PROVIDED TO COOK BY THE USER: THIS WAS A NEW PEG PLACEMENT. THERE WERE NO ISSUES DURING THE PLACEMENT [OF THE DEVICE]. THE PLACEMENT WAS VERIFIED ENDOSCOPICALLY, THE BUMPER WAS APPROPRIATELY NOTED IN RELATION TO THE SKIN. THE PEG SITE BECAME INFECTED PRIOR TO BEING UTILIZED FOR FEEDINGS, AS IT WAS PLACED FOR USE POST CHEMO AND RADIATION FOR A NECK/THROAT CANCER. THE PATIENT RETURNED TO THE GASTRO-INTESTINAL (GI) LAB WITHIN SEVEN (7) DAYS OF THE INITIAL PEG PLACEMENT AS A RESULT OF BEING SEEN BY THE ONCOLOGIST. ADDITIONAL INFORMATION WAS RECEIVED ON 01-MAY-2019: THE DEVICE WAS PLACED (B)(6) 2019 [WITH] NO ISSUES. [THE PATIENT] RETURNED (B)(6) 2019 [WITH AN] INFECTION [THAT WAS] TREATED WITH ORAL ANTIBIOTICS WITH SUCCESS. SEVERAL ATTEMPTS WERE MADE IN AN ATTEMPT TO COLLECT ADDITIONAL INFORMATION REGARDING PATIENT IMPACT AND PRODUCT USAGE. IT IS UNKNOWN IF A SECTION OF THE DEVICE REMAINED INSIDE THE PATIENT'S BODY. THE PATIENT REQUIRED ANTIBIOTICS DUE TO THIS OCCURRENCE. BECAUSE THE COMPLAINANT STATED THAT THE INFECTION WAS TREATED WITH SUCCESS, WE CAN CONCLUDE THAT THIS INFORMATION DOES NOT REASONABLY SUGGEST THE PATIENT WAS ADVERSELY IMPACTED.
Patient problems: Unspecified Infection
MAUDE report 8625127 ↗InjuryMay 7, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE FOLLOWING INFORMATION WAS PROVIDED TO COOK BY THE USER: AN UNKNOWN PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) TUBE WAS PLACED; THE PATIENT CAME BACK WITH AN INFECTION AND IRRITATION AT THE INSERTION SITE. THE PATIENT WAS TREATED WITH ANTIBIOTICS. THE PEG WAS REMOVED AND NO REPLACEMENT DEVICE WAS USED. [THE INSERTION SITE WAS] LEFT TO CLOSE ON ITS OWN. ADDITIONAL INFORMATION PROVIDED ON (B)(6) 2019: THE DEVICE WAS A FLOW-20-PULL-SSK-S-T. ADDITIONAL INFORMATION PROVIDED BY CUSTOMER ON (B)(6) 2019: THIS WAS A NEW PEG PLACEMENT. THERE WERE NO ISSUES DURING THE PLACEMENT [OF THE DEVICE]. THE PLACEMENT WAS VERIFIED ENDOSCOPICALLY, THE BUMPER WAS APPROPRIATELY NOTED IN RELATION TO THE SKIN. THE PEG SITE BECAME INFECTED PRIOR TO BEING UTILIZED FOR FEEDINGS, AS IT WAS PLACED FOR USE POST CHEMO AND RADIATION FOR NECK/THROAT CANCER. THE PATIENT RETURNED TO THE GASTRO-INTESTINAL (GI) LAB WITHIN SEVEN (7) DAYS OF THE INITIAL PEG PLACEMENT AS A RESULT OF BEING SEEN BY THE ONCOLOGIST. ADDITIONAL INFORMATION WAS RECEIVED ON (B)(6) 2019: THE DEVICE WAS PLACED (B)(6) 2019 [WITH] NO ISSUES. [THE PATIENT] RETURNED (B)(6) 2019 AND WAS ADMITTED TO THE HOSPITAL FOR A PEG SITE INFECTION. THE PEG WAS RE
Patient problems: Unspecified Infection
MAUDE report 8588981 ↗InjuryFeb 23, 2017Difficult to Advance; Difficult to Advance
DURING A PROCEDURE, THE PHYSICIAN USED A FLOW 20 PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SET - PULL. AS REPORTED FROM MEDWATCH MW5067337: "INVOLVES THE PORTION OF THE PEG TUBE (THE INTRODUCER) [SILICONE FEEDING TUB]. THE PHYSICIAN HAD DIFFICULTY THREADING A NYLON THROUGH THE INTRODUCER [SILICONE FEEDING TUBE], RESULTING IN ABORTING THE PROCEDURE. MAY HAVE BEEN SECONDARY TO USER ERROR, BUT UNSURE. MANAGER OF ENDOSCOPY NOTIFIED MANUFACTURER." THIS EVENT WAS NOT REPORTED TO THE MANUFACTURER FROM THE USER FACILITY, AS INDICATED IN THE MEDWATCH.
Patient problems: No Information
MAUDE report 6354799 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K920703. One submission often covers many models, so check the product and lot details in each record.
- Z-1910-2009 · Jul 24, 2009 · TerminatedJejunal Feeding Set, Product Order number FLOWJ-9-20. This device is used for percutaneous endoscopic placement to provide enteral nutrition to patients requiring nutritional supp
Other TUBES, GASTROINTESTINAL (AND ACCESSORIES) devices
- Bard® DigniShield® Stool Management System SMS002C. R. Bard, Inc. · TUBES, GASTROINTESTINAL (AND ACCESSORIES)2 deaths525 reports
- CORTRAK* 2 ENTERAL ACCESS SYSTEM 20-0950Avanos Medical, Inc. · Tubes, gastrointestinal (and accessories)1 recall22 deaths134 reports
- Bard Tri-Funnel Replacement Gastrostomy Tube 000720Bard Access Systems, Inc. · TUBES, GASTROINTESTINAL (AND ACCESSORIES)1 death170 reports
- EndoVive Safety PEG Kit M00566470Boston Scientific Corporation · TUBES, GASTROINTESTINAL (AND ACCESSORIES)1 recall1 death111 reports
- Kangaroo 8884711253Cardinal Health, Inc. · TUBES, GASTROINTESTINAL (AND ACCESSORIES)152 reports
- Kangaroo 8884711253ECardinal Health, Inc. · TUBES, GASTROINTESTINAL (AND ACCESSORIES)100 reports
- NutraGlide Nasal Feeding Tube ENFT-05055-IApplied Medical Technology, Inc. · Tubes, Gastrointestinal (And Accessories)2 recalls0 reports
- NutraGlide Nasal Feeding Tube ENFT-06090-IApplied Medical Technology, Inc. · Tubes, Gastrointestinal (And Accessories)2 recalls0 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 13, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 13, 2026
- Page last rebuilt: Oct 13, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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