FDA Adverse Event Injury Summary report: N

MI,4FST,40CM,SS/TUN,7ECO

MDR report key: 24660110 · Received March 23, 2026

Report

Report Number
2134812-2026-00010
Event Type
Injury
Date Received
March 23, 2026
Date of Event
February 25, 2026
Report Date
February 25, 2026
Manufacturer
VASCULAR SOLUTIONS LLC
Product Code
OFC
UDI-DI
10841156102876
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Additional Manufacturer Narrative · 0

QN# (B)(4). COMPLAINT DETAILS WERE REVIEWED. CUSTOMER STATED, " 4F MIK SHEATH SEPARATED FROM HUB UPON REMOVAL". NO UNIT WAS RETURNED FOR EVALUATION. IT IS UNKNOWN TO WHAT EXTENT AND DEGREE OF DAMAGE WAS PRESENT ON THE UNIT. ADDITIONAL INFORMATION WAS REQUESTED. A RESPONSE WAS RECEIVED. SURGICAL CUTDOWN WAS EMPLOYED TO REMOVE THE SHEATH. BASED ON THE INFORMATION, THE MOST LIKELY ROOT CAUSE OF THE ISSUE IS UNDETERMINABLE. TELEFLEX WILL CONTINUE TO MONITOR SIMILAR ISSUES AND TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT: "4F MIK SHEATH SEPARATED FROM HUB UPON REMOVAL. A CUTDOWN WAS PERFORMED TO REMOVE REMAINDER OF DEVICE."

Description of Event or Problem · 0

IT WAS REPORTED THAT: "4F MIK SHEATH SEPARATED FROM HUB UPON REMOVAL. A CUTDOWN WAS PERFORMED TO REMOVE REMAINDER OF DEVICE."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
287471 MI,4FST,40CM,SS/TUN,7ECO INTRODUCER, CATHETER OFC VASCULAR SOLUTIONS LLC 73J2500573 10841156102876

Patients

Seq Age Sex Outcome Treatment
1