BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGIO LOCK HEMACLIPS

    MDR report key: 23646678 · Received November 25, 2025

    Report

    Report Number
    MW5179411
    Event Type
    Malfunction
    Date Received
    November 25, 2025
    Date of Event
    November 20, 2025
    Report Date
    November 20, 2025
    Manufacturer
    MEDLINE INDUSTRIES, LP - NORTHFIELD
    Product Code
    FZP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    DURING THE LAP CHOLE CASE, SURGEON WAS USING NEW PRODUCT OF ANGIO LOCK HEMOCLIPS SIZE M/L GREEN PLASTIC; 2 CLIPS CRUMBLED WHILE ATTEMPTING TO PLACE ON CYSTIC BILE DUCT AND SURGEON HAD TO MANUALLY GRAB EACH PLASTIC PIECE OUT. ALL PACKS OF CLIPS WERE FROM THE SAME LOT OF 30053B493.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2137643 ANGIO LOCK HEMACLIPS CLIP, IMPLANTABLE FZP MEDLINE INDUSTRIES, LP - NORTHFIELD 30053B493

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Female