FDA Adverse Event Malfunction Summary report: N

CELT ACD VASCULAR CLOSURE DEVICE 6F

MDR report key: 20225032 · Received September 16, 2024

Report

Report Number
20225032
Event Type
Malfunction
Date Received
September 16, 2024
Date of Event
May 2, 2024
Report Date
May 15, 2024
Manufacturer
VASORUM LIMITED
Product Code
MGB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

CLOSURE DEVICE FAILURE DURING FEMORAL ARTERIAL SHEATH REMOVAL. RESULTING IN PARTIAL DEVICE LODGED IN PATIENT'S ARTERY. MANUAL PRESSURE HELD; HEMOSTASIS OBTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1472581 CELT ACD VASCULAR CLOSURE DEVICE 6F DEVICE, HEMOSTASIS, VASCULAR MGB VASORUM LIMITED KCLT-06 943065

Patients

Seq Age Sex Outcome Treatment
1 65 YR Unknown Other