FDA Adverse Event Malfunction Summary report: N

MYNXGRIP

MDR report key: 16369261 · Received February 13, 2023

Report

Report Number
3004939290-2023-02902
Event Type
Malfunction
Date Received
February 13, 2023
Date of Event
January 13, 2023
Report Date
June 5, 2023
Manufacturer
CARDINAL HEALTH SANTA CLARA
Product Code
MGB
UDI-DI
10862028000403
PMA / PMN Number
P040044
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A PRODUCT HISTORY REVIEW IS EXPECTED BUT NOT YET AVAILABLE. ADDITIONAL INFORMATION IS PENDING AND WILL BE SUBMITTED WITHIN 30 DAYS UPON RECEIPT. THIS REPORT IS RELATED TO MDR: 3004939290-2023-02889.

Additional Manufacturer Narrative · 0

THIS REPORT IS RELATED TO MDR REPORT NUMBER #3004939290-2023-02889. AS REPORTED THE PLUG OF A 5F MYNXGRIP VASCULAR CLOSURE DEVICE (VCD) DID NOT COME LOOSE FROM THE SYSTEM, AND WAS STUCK IN THE SLEEVE. THIS HAPPENED TWICE IN THIS CASE, AS ANOTHER MYNX WAS TAKEN OUT OF THE PACKAGING FOR TESTING, BUT NOT USED ON THE PATIENT. THERE WAS NO REPORTED PATIENT INJURY. THE DEVICE WAS STORED AND PREPPED ACCORDING TO THE IFU. THE DEVICE WAS USED IN A DIAGNOSTIC PERIPHERAL PROCEDURE. THE DEPLOYER WAS MYNX CERTIFIED. THE ADVANCER TUBE WAS ENGAGED AND VISIBLE. ADDITIONAL PROCEDURAL DETAILS WERE REQUESTED BUT NOT PROVIDED. THE PROCEDURAL DEVICE IS BEING RETURNED FOR EVALUATION. THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. A PRODUCT HISTORY RECORD (PHR) REVIEW OF LOT F2227402 REVEALED NO ANOMALIES OR NON-CONFORMANCES DURING THE MANUFACTURING AND INSPECTION PROCESSES THAT CAN BE ASSOCIATED WITH THE REPORTED EVENT. THE REPORTED ¿SEALANT FAILURE TO DEPLOY¿ WAS NOT CONFIRMED DURING ANALYSIS OF THE RETURNED DEVICE. THE EXACT CAUSE OF THE REPORTED EVENT COULD NOT BE CONCLUSIVELY DETERMINED. PATIENT OR PROCEDURAL FACTORS MAY HAVE CONTRIBUTED TO THE REPORTED EVENT. ACCORDING TO THE INSTRUCTIONS FOR USE, WHICH IS NOT INTENDED AS A MITIGATION OF RISK, USERS ARE INSTRUCTED NOT TO USE THE DEVICE IF IT APPEARS DAMAGED IN ANY WAY. NEITHER THE PHR REVIEW NOR THE PRODUCT ANALYSIS SUGGESTS THAT THE REPORTED EVENT COULD BE RELATED TO THE MANUFACTURING PROCESS OF THE UNIT. THEREFORE, NO CORRECTIVE/PREVENTATIVE ACTIONS WILL BE TAKEN AT THIS TIME.

Additional Manufacturer Narrative · 0

A REVIEW OF THE MANUFACTURING DOCUMENTATION ASSOCIATED WITH LOT F2227402 PRESENTED NO ISSUES DURING THE MANUFACTURING PROCESS THAT CAN BE RELATED TO THE REPORTED EVENT. ADDITIONAL INFORMATION IS PENDING AND WILL BE SUBMITTED WITHIN 30 DAYS UPON RECEIPT.

Description of Event or Problem · 0

AS REPORTED THE PLUG OF A 5F MYNXGRIP VASCULAR CLOSURE DEVICE (VCD) DID NOT COME LOOSE FROM THE SYSTEM, AND WAS STUCK IN THE SLEEVE. THIS HAPPENED TWICE IN THIS CASE, AS ANOTHER MYNX WAS TAKEN OUT OF THE PACKAGING FOR TESTING, BUT NOT USED ON PATIENTS. THERE WAS NO REPORTED PATIENT INJURY. THE DEVICE WAS STORED AND PREPPED ACCORDING TO THE IFU. THE DEVICE WAS USED IN A DIAGNOSTIC PERIPHERAL PROCEDURE. THE DEPLOYER WAS MYNX CERTIFIED. THE ADVANCER TUBE WAS ENGAGED AND VISIBLE. ADDITIONAL PROCEDURAL DETAILS WERE REQUESTED BUT NOT PROVIDED. THE DEVICE IS BEING RETURNED FOR EVALUATION.

Description of Event or Problem · 0

AS REPORTED THE PLUG OF A 5F MYNXGRIP VASCULAR CLOSURE DEVICE (VCD) DID NOT COME LOOSE FROM THE SYSTEM, AND WAS STUCK IN THE SLEEVE. THIS HAPPENED TWICE IN THIS CASE, AS ANOTHER MYNX WAS TAKEN OUT OF THE PACKAGING FOR TESTING, BUT NOT USED ON THE PATIENT. THERE WAS NO REPORTED PATIENT INJURY. THE DEVICE WAS STORED AND PREPPED ACCORDING TO THE IFU. THE DEVICE WAS USED IN A DIAGNOSTIC PERIPHERAL PROCEDURE. THE DEPLOYER WAS MYNX CERTIFIED. THE ADVANCER TUBE WAS ENGAGED AND VISIBLE. ADDITIONAL PROCEDURAL DETAILS WERE REQUESTED BUT NOT PROVIDED. THE PROCEDURAL DEVICE IS BEING RETURNED FOR EVALUATION. THE DEVICE USED FOR TESTING IS NOT BEING RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2229223 MYNXGRIP DEVICE, HEMOSTASIS, VASCULAR MGB CARDINAL HEALTH SANTA CLARA N/A F2227402 10862028000403

Patients

Seq Age Sex Outcome Treatment
1 Unknown