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Halyard 94804Recalls & reported problems

Avanos Medical, Inc. · HALYARD* MIC* Bolus G Feeding Tube, Stock# 0110-16LV · Class 2 · Implant

All models of Halyard (232)

Data updated Oct 16, 2026 from official FDA records · Editorial policy

Adverse event reports
1
Deaths reported
0
Injuries reported
1
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 10680651948042), received between Nov 29, 2017 and Nov 29, 2017 — classified as 1 injury.

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. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.

Most reported problems

Device problems

  • Adverse Event Without Identified Device or Use Problem1

Patient problems

  • Peritonitis1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • InjuryNov 29, 2017Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT WHEN THE PATIENT CAME IN TO HAVE THE FEEDING TUBE REPLACED AND WAS DIAGNOSED WITH PERITONITIS. A CT SCAN WAS PERFORMED. PER ADDITIONAL INFORMATION RECEIVED ON 10 NOV 2017, THE INITIAL FEEDING TUBE WAS PLACED ON (B)(6) 2017. PER ADDITIONAL INFORMATION RECEIVED ON 14 NOV 2017, THE PLACEMENT OF THE DEVICE WAS AN INITIAL PLACEMENT. A HALYARD KIT WAS USED TO PLACE THE DEVICE. THE PERITONITIS WAS DIAGNOSED ON (B)(6) 2017. THERE WERE NO ISSUES WITH THE STOMA OR THE SUTURES THAT WERE PLACED. THE PATIENT WAS DISCHARGED AFTER INSERTION OF A NEW TUBE. PER ADDITIONAL INFORMATION RECEIVED 21 NOV 2017, THE FEEDING TUBE HAD BEEN USED FOR NUTRISON FEED AND ORAL MEDICATIONS. ADDITIONAL INFORMATION RECEIVED ON 22 NOV 2017 STATED THAT THE FEEDING TUBE WAS REPLACED, AND THEN THE PATIENT WAS DIAGNOSED WITH PERITONITIS, WHICH WAS CONFIRMED VIA CT SCAN. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT NOT YET RECEIVED.

    Patient problems: Peritonitis

    MAUDE report 7069726 ↗

Other TUBES, GASTROINTESTINAL (AND ACCESSORIES) devices

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Sources and updates

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