FDA Adverse Event Malfunction Summary report: N

PARACENTESIS PROCEDURE TRAY

MDR report key: 24583327 · Received March 12, 2026

Report

Report Number
1721504-2026-00920
Event Type
Malfunction
Date Received
March 12, 2026
Date of Event
October 3, 2025
Report Date
March 12, 2026
Manufacturer
MERIT MEDICAL SYSTEMS, INC
Product Code
PYC
UDI-DI
00884450038710
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE SUSPECT DEVICE WAS NOT RETURNED FOR EVALUATION. THE COMPLAINT COULD NOT BE CONFIRMED. THE ROOT CAUSE COULD NOT BE DETERMINED. A REVIEW OF THE DEVICE HISTORY AND COMPLAINT DATABASE COULD NOT BE PERFORMED SINCE THE LOT NUMBER WAS NOT PROVIDED. NONCONFORMANCES OF THIS NATURE ARE MONITORED BY THE OPERATION TEAM. THIS COMPLAINT WILL BE USED TO TREND FOR SIMILAR COMPLAINTS.

Description of Event or Problem · 0

THE ACCOUNT ALLEGES THAT DURING A THERAPEUTIC PARACENTESIS PROCEDURE, THE PHYSICIAN REPORTED THAT THE CATHETER WAS NOT DRAINING. UPON REMOVAL OF THE DEVICE, IT WAS NOTED THAT THE CATHETER TIP WAS MISSING. ULTRASOUND IMAGING CONFIRMED THAT THE CATHETER TIP WAS RETAINED IN THE SUBCUTANEOUS TISSUE OF THE RIGHT LOWER QUADRANT OF THE ABDOMEN. SURGICAL CONSULTATION WAS OBTAINED AND REMOVAL OF THE RETAINED FRAGMENT WAS SCHEDULED. THE DEVICE AND PACKAGING WERE NOT RETAINED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
638854 PARACENTESIS PROCEDURE TRAY CLOSED-WOUND DRAIN PYC MERIT MEDICAL SYSTEMS, INC 00884450038710

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention