ABDOMINAL TRANSPLANT PACK
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
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.
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 |