FDA Adverse Event Injury Summary report: N

ABDOMINAL TRANSPLANT PACK

MDR report key: 24115887 · Received January 20, 2026

Report

Report Number
1047429-2026-00001
Event Type
Injury
Date Received
January 20, 2026
Date of Event
June 21, 2024
Report Date
January 20, 2026
Manufacturer
AVID MEDICAL, INC.
Product Code
LRO
UDI-DI
10809160319628
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT INVOLVED IN THE EVENT WAS NOT RETURNED FOR EVALUATION. AVID MEDICAL IS A CONVENIENCE KIT MANUFACTURER. THE COMPLAINT COMPONENT (PART NUMBER 5308259, LOT P64795) IS SUPPLIED BY (B)(4) INC. AVID MEDICAL PERFORMED A DEVICE HISTORY REVIEW OF COMPLAINT LOT FROM ASSEMBLY. ALL TRAYS INSPECTED DETECTED NO COMPONENT DEFECTS, NO ADDITIONAL HANDLING WAS PERFORMED. ALL REQUIRED INSPECTIONS WERE PERFORMED PRIOR TO PRODUCT RELEASE. THE SUPPLIER WAS CONTACTED TO INQUIRE ABOUT ANY KNOWN ISSUES AND TO OBTAIN THE CONTAINER SPECIFICATIONS; THEY REPORTED NO COMPLAINTS RELATED TO THE CONTAINER. THE CURRENT INVENTORY OF THE AFFECTED COMPONENT IN THE WAREHOUSE WAS REVIEWED, AND NO ISSUES WERE IDENTIFIED. ADDITIONAL TRAINING WAS PROVIDED TO THE EMPLOYEE INVOLVED IN THIS INCIDENT, AND REPLACEMENT ITEMS WERE ISSUED TO ADDRESS THE INCONVENIENCE. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE COMPLAINT DATABASE AND IDENTIFIED AS COMPLAINT (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY.

Description of Event or Problem · 0

CUSTOMER REPORTED THAT CONTAINER WITHIN ABDOMINAL TRANSPLANT PACK CRACKED DURING ORGAN (KIDNEY) TRANSPORT RENDERING THE ORGAN UNUSABLE. DETAILS ON THE STATUS OF DONOR OR INTENDED RECIPIENT ARE UNKNOWN, THE REPORTER INDICATED THAT THEIR POLICY IS TO NOT SHARE THESE DETAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
177368 ABDOMINAL TRANSPLANT PACK ABDOMINAL TRANSPLANT PACK LRO AVID MEDICAL, INC. NCDS019 1599604 10809160319628

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other