FDA Adverse Event
Injury
Summary report: N
FLEX VESSEL PREP¿ SYSTEM
MDR report key: 22469975
·
Received July 10, 2025
Report
- Report Number
- 3012696653-2025-00002
- Event Type
- Injury
- Date Received
- July 10, 2025
- Date of Event
- June 20, 2025
- Report Date
- July 10, 2025
- Manufacturer
- VENTUREMED GROUP, INC.
- Product Code
- PNO
- UDI-DI
- 00863656000325
- PMA / PMN Number
- K202187
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PERFORATION OCCURRED, PROCEDURE WAS COMPLETED USING A STENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1279599 | FLEX VESSEL PREP¿ SYSTEM | PERIPHERAL INTRAVASCULAR CATHETER | PNO | VENTUREMED GROUP, INC. | FSC 4-75 | 64960 | 00863656000325 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention | STENT |