FDA Adverse Event
Malfunction
Summary report: N
GYRUS ACMI
MDR report key: 24789491
·
Received April 6, 2026
Report
- Report Number
- 24789491
- Event Type
- Malfunction
- Date Received
- April 6, 2026
- Date of Event
- February 10, 2026
- Report Date
- April 3, 2026
- Manufacturer
- GYRUS ACMI, LLC
- Product Code
- HHK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ROOM SET TESTED D AND C MACHINE WAS WORKING. PATIENT IN ROOM TUBING CONNECTED SUCTION WOULD STOP BETWEEN YELLOW AND GREEN MARKING. CAPS REPLACED ON CANISTERS, CANISTERS REPLACED, TUBING REPLACED. DR [REDACTED] PROCEEDED USED ULTRASOUND PROCEDURE COMPLETED. INFORMED CHARGE NURSE [REDACTED] OF ISSUES EDUCATOR [REDACTED CAME IN ROOM TO HELP. TUBING PLACED IN BIOHAZARD BAG TOLD TO DISCARD. COLLECTION SET DISPOSABLE REF #23116, LOT S240174920, GYRUS ACMI. DEVICE TO BE CHECKED. MANUFACTURER RESPONSE FOR COLLECTION SET, (BRAND NOT PROVIDED) (PER SITE REPORTER).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 400435 | GYRUS ACMI | CURETTE, SUCTION, ENDOMETRIAL (AND ACCESSORIES) | HHK | GYRUS ACMI, LLC | 23116 | S240174920 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |