OPUS VASCULAR ACCESS KIT (MC3)
Report
- Report Number
- 3011468686-2025-00086
- Event Type
- Injury
- Date Received
- October 17, 2025
- Date of Event
- October 1, 2024
- Report Date
- October 17, 2025
- Manufacturer
- MC3 INC.
- Product Code
- DRE
- PMA / PMN Number
- K182914
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
MEDTRONIC RECEIVED INFORMATION THROUGH A POST MARKET FOLLOW-UP (PMCF) SURVEY, FOR OPUS¿ VASCULAR ACCESS KIT, THAT THE USER REPORTED HEMATOMAS REQUIRING SURGERY AND TISSUE DAMAGE OCCURRED. THE ONE HEMATOMA REQUIRING SURGERY WAS RELATED TO PRE-EXISTING CONDITION OR CO-MORBIDITY AND THE OTHER OCCURRENCE WAS SPECIFICALLY RELATED TO OPUS¿ VASCULAR ACCESS KIT. THE TISSUE DAMAGE THAT OCCURRED ON ENTRY WAS SPECIFICALLY RELATED TO THE OPUS¿ VASCULAR ACCESS KIT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2827673 | OPUS VASCULAR ACCESS KIT (MC3) | DILATOR, VESSEL, FOR PERCUTANEOUS CATHETERIZAT | DRE | MC3 INC. | 21030 | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |