ON-Q EXPANSION KITS WITH SILVERSOAKER CATHETER 10IN(25 CM)
Report
- Report Number
- 2026095-2026-00038
- Event Type
- Malfunction
- Date Received
- May 12, 2026
- Date of Event
- May 1, 2025
- Report Date
- May 12, 2026
- Manufacturer
- AVANOS MEDICAL INC.
- Product Code
- BSO
- UDI-DI
- 00193494135393
- PMA / PMN Number
- K051401
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
THE DEVICE HISTORY RECORD FOR THE REPORTED LOT NUMBER, 30311250, IN THIS COMPLAINT WAS REVIEWED AND THE MATERIAL WAS PRODUCED ACCORDING TO THE MANUFACTURING PROCEDURES AND MET THE QUALITY REQUIREMENTS. ALL INFORMATION REASONABLY KNOWN AS OF 12-MAY-2026 HAS BEEN INCLUDED IN THIS HEALTH AUTHORITY REPORT. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A FOLLOW-UP HEALTH AUTHORITY REPORT WILL BE PROVIDED. THE INFORMATION PROVIDED BY AVANOS MEDICAL, INC. REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO AVANOS MEDICAL, INC. AVANOS MEDICAL, INC. HAS NO INDEPENDENT KNOWLEDGE OF THE EVENT REPORTED BUT IS RELAYING THE INFORMATION THAT WAS PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE AVANOS MEDICAL, INC. COMPLAINT DATABASE AND IDENTIFIED AS COMPLAINT (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT AN AVANOS MEDICAL, INC. PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY.
IT WAS REPORTED VIA FDA MEDWATCH / FDA USER FACILITY REPORT MW REPORT 22885309 THE FOLLOWING: RN OPENED AVANOS ON-Q ANTIMICROBIAL EXPANSION KIT TO STERILE BACK TABLE. RN HOLDING KIT OPEN FOR SCRUB TECH TO GRAB SUPPLIES. ANOTHER RN REPORTED HEARING "POP" SOUND AND THE SHEATHED INTRODUCER IN PACKAGE SLING-SHOTTED OUT OF PACKAGE INTO THE FIRST RN'S EYE. RN USED EYEWASH STATION AND EXAMINED EYE. MILD PAIN PRESENT BUT NO OTHER INJURIES NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 225924 | ON-Q EXPANSION KITS WITH SILVERSOAKER CATHETER 10IN(25 CM) | CATHETERS | BSO | AVANOS MEDICAL INC. | PM040-A | 30311250 | 00193494135393 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |