FDA Adverse Event
Malfunction
Summary report: N
M-CLOSE KIT
MDR report key: 24442245
·
Received February 25, 2026
Report
- Report Number
- 24442245
- Event Type
- Malfunction
- Date Received
- February 25, 2026
- Date of Event
- January 5, 2026
- Report Date
- February 16, 2026
- Manufacturer
- NEW WAVE ENDO
- Product Code
- HCF
- UDI-DI
- 00850009417022
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
WHILE USING THE M-CLOSE DEVICE, IT WAS NOTICED THAT PART OF IT, SPECIFICALLY THE LOOP WIRE, WAS MISSING. CT AND X-RAY WERE COMPLETED ON THE PATIENT, NEGATIVE FOR FOREIGN BODY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 502908 | M-CLOSE KIT | INSTRUMENT, LIGATURE PASSING AND KNOT TYING | HCF | NEW WAVE ENDO | 27-101 | A0926 | 00850009417022 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 22 YR | Male | Other |