FDA Adverse Event
Malfunction
Summary report: N
KIDNEYVAULT
MDR report key: 24619168
·
Received March 16, 2026
Report
- Report Number
- MW5185383
- Event Type
- Malfunction
- Date Received
- March 16, 2026
- Date of Event
- January 29, 2026
- Report Date
- March 10, 2026
- Manufacturer
- PARAGONIX TECHNOLOGIES INC
- Product Code
- KDN
- UDI-DI
- 00850005470335
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
AT THE TIME OF THE PATIENT'S RENAL TRANSPLANT, UPON REMOVING THE CANNISTER ASSEMBLY FROM THE SHIPPING HOUSING, IT WAS DISCOVERED THAT A PORTION OF THE PRESERVATION SOLUTION HAD LEAKED FROM THE CANISTER ASSEMBLY TO THE SHIPPER ASSEMBLY. UPON FURTHER INSPECTION, A TEAR IN THE CLOSED-CIRCUIT TUBING WAS IDENTIFIED APPROXIMATELY AT THE POINT IN WHICH THE TUBING CAME INTO CONTACT WITH THE PERISTALTIC PUMP / CLASPING. THE PATIENT WAS INFORMED OF THE FINDINGS; RISKS/BENEFITS WERE DISCUSSED AND THEY ELECTED TO PROCEED WITH TRANSPLANTATION. THEY HAVE SINCE RECOVERED WITHOUT ANY IDENTIFIED ADVERSE EFFECTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 674026 | KIDNEYVAULT | SYSTEM, PERFUSION, KIDNEY | KDN | PARAGONIX TECHNOLOGIES INC | KS251000 | 00850005470335 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR | Male |