FDA Adverse Event Malfunction Summary report: N

AVANOS

MDR report key: 12048739 · Received June 23, 2021

Report

Report Number
12048739
Event Type
Malfunction
Date Received
June 23, 2021
Date of Event
June 2, 2021
Report Date
June 8, 2021
Manufacturer
AVANOS MEDICAL, INC.
Product Code
NZP
Product Problem
Yes
Report Source
User Facility report
Reporter Location
VA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

HALYARD INTEGUSEAL WOULD NOT RELEASE THE FLUID INSIDE. MULTIPLE HAVE COME THIS WAY AND ARE WASTED. NO INTEGUSEAL APPLICATORS WERE SAVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
945419 AVANOS SEALANT, MICROBIAL NZP AVANOS MEDICAL, INC. 33737 P00219763

Patients

Seq Age Sex Outcome Treatment
1