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 |