FDA Adverse Event
Injury
Summary report: N
PALINDROME
MDR report key: 25277324
·
Received May 26, 2026
Report
- Report Number
- 25277324
- Event Type
- Injury
- Date Received
- May 26, 2026
- Date of Event
- April 17, 2026
- Report Date
- April 29, 2026
- Manufacturer
- MOZARC MEDICAL US LLC
- Product Code
- MSD
- UDI-DI
- 10884521158023
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
INJURY OCCURRED, PULMONARY AIR EMBOLUS. DURING PLACEMENT OF TUNNELED CENTRAL VENOUS CATHETER, THE PEEL AWAY SHEATH VALVE FAILED AND A LARGE BOLUS OF AIR WAS SUCKED INTO THE SHEATH AND INTO THE HEART PROMPTING IMMEDIATE ADVANCED AIRWAY PROCEDURES, PATIENT REPOSITIONING, AND EMERGENT ANESTHESIA RESPONSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 351045 | PALINDROME | CATHETER, HEMODIALYSIS, IMPLANTED | MSD | MOZARC MEDICAL US LLC | 8888145039P | 2430500182 | 10884521158023 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |