FDA Adverse Event
Injury
Summary report: N
VIA360 SURGICAL SYSTEM
MDR report key: 25194681
·
Received May 15, 2026
Report
- Report Number
- 1000125279-2026-00019
- Event Type
- Injury
- Date Received
- May 15, 2026
- Date of Event
- April 30, 2026
- Report Date
- May 15, 2026
- Manufacturer
- NEW WORLD MEDICAL, INC.
- Product Code
- HMZ
- PMA / PMN Number
- K243503
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- 501
Narratives
Additional Manufacturer Narrative · 0
THE IFU FOR THE REPORTED PRODUCT MODEL WAS REVIEWED AND CONFIRMED TO INCLUDE CLEFT AS A KNOWN COMPLICATION. THE DEVICE HISTORY RECORD (DHR) COULD NOT BE REVIEWED, AS NO SPECIFIC SERIAL OR LOT INFORMATION WAS AVAILABLE. THE PRODUCT WAS MANUFACTURED, TESTED, AND RELEASED IN ACCORDANCE WITH VALIDATED PROCEDURES. AS THE DEVICE IS NOT AVAILABLE FOR RETURN, NO DEVICE MALFUNCTION COULD BE CONFIRMED.
Description of Event or Problem · 0
FIRST VIA USED, HE WAS ABLE TO ADVANCE THE CATHETER ABOUT 4 O CLOCK, AND THE PATIENT MOVED AND HE PULLED THE CATHETER. THERE WAS A LOT OF REFLUX AND HE THOUGHT THERE WAS A SMALL CLEFT. BUT HE WAS WELL AWARE THAT THE DEVICE DID NOT CAUSE OR WORSEN THE ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 562455 | VIA360 SURGICAL SYSTEM | INFUSION PUMP | HMZ | NEW WORLD MEDICAL, INC. | VIA360 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |