FDA Adverse Event Malfunction Summary report: N

NEW WAVE ENDO M-CLOSE PORT CLOSURE KIT

MDR report key: 23149119 · Received September 25, 2025

Report

Report Number
MW5176622
Event Type
Malfunction
Date Received
September 25, 2025
Date of Event
May 8, 2025
Report Date
September 22, 2025
Manufacturer
NEW WAVE ENDO
Product Code
HCF
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NJ, US
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

M-CLOSE KIT OPENED TO THE STERILE FIELD FOR GASTRECTOMY SLEEVE. THE GUIDE WIRE INCLUDED IN THE KIT WAS KINKED AND WOULD NOT BE ABLE TO ENTER THE M-CLOSE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
302928 NEW WAVE ENDO M-CLOSE PORT CLOSURE KIT INSTRUMENT, LIGATURE PASSING AND KNOT TYING HCF NEW WAVE ENDO REF 27-101 C2525

Patients

Seq Age Sex Outcome Treatment
1 51 YR Female