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