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 |