FDA Adverse Event Malfunction Summary report: N

MYNXGRIP VASCULAR CLOSURE DEVICE

MDR report key: 5623561 · Received May 2, 2016

Report

Report Number
5623561
Event Type
Malfunction
Date Received
May 2, 2016
Date of Event
April 6, 2016
Report Date
April 19, 2016
Manufacturer
ACCESSCLOSURE, INC., A CARDINAL HEALTH COMPANY
Product Code
MGB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

WHEN ATTEMPTING TO USE THE MYNX CLOSURE DEVICE THE BALLOONS ON TWO OF THE DEVICES BURST WHEN DEPLOYED. THE THIRD DEVICE WAS SUCCESSFUL. NO PATIENT INJURY. BOTH DEVICES HAVE SAME LOT NUMBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
278553 MYNXGRIP VASCULAR CLOSURE DEVICE DEVICE, HEMOSTASIS, VASCULAR MGB ACCESSCLOSURE, INC., A CARDINAL HEALTH COMPANY 6F/7F FF1604007

Patients

Seq Age Sex Outcome Treatment
1 74 YR