FDA Adverse Event Injury Summary report: N

CIRCLAMP W/1.1CM BELL (ST)

MDR report key: 19872920 · Received July 31, 2024

Report

Report Number
1824619-2024-00008
Event Type
Injury
Date Received
July 31, 2024
Date of Event
July 2, 2024
Report Date
July 31, 2024
Manufacturer
CENTURION MEDICAL PRODUCTS, LP
Product Code
HFX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ACCORDING TO THE FACILITY, "THERE WAS CIRCUMFERENTIAL BLEEDING THAT OCCURRED, EVEN THOUGH THE CLAMPS WERE TIGHTENED APPROPRIATELY AND LEFT ON > 6 MINUTES, WHICH IS THE GUIDELINE. THIS OCCURS AT THE END OF THE PROCEDURE, WHEN THE CLAMP WAS REMOVED. THE MOST RECENT EVENT WAS ON 7/2/2024. ALL OF THE PATIENTS REQUIRED WITHER CAUTERY, SURGICAL, OR STITCHES IN ORDER TO STOP THE BLEEDING; ALL PATIENTS ARE CURRENTLY DOING WELL" A SAMPLE IS AVAILABLE FOR EVALUATION. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR. IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem · 0

ACCORDING TO THE FACILITY, "THERE WAS CIRCUMFERENTIAL BLEEDING THAT OCCURRED, EVEN THOUGH THE CLAMPS WERE TIGHTENED APPROPRIATELY AND LEFT ON > 6 MINUTES, WHICH IS THE GUIDELINE."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1239902 CIRCLAMP W/1.1CM BELL (ST) HFX CENTURION MEDICAL PRODUCTS, LP 2024042201

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other