FDA Adverse Event
Malfunction
Summary report: N
MYNXGRIP VASCULAR CLOSURE
MDR report key: 9122506
·
Received September 26, 2019
Report
- Report Number
- 9122506
- Event Type
- Malfunction
- Date Received
- September 26, 2019
- Date of Event
- September 13, 2019
- Report Date
- September 19, 2019
- Manufacturer
- ACCESSCLOSURE, INC. (A CARDINAL HEALTH COMPANY)
- Product Code
- MGB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NC
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PATIENT UNDERWENT A BILATERAL ILIAC ARTERY STENT PLACEMENT. MD REPORTED THAT THE MYNX CLOSURE DEVICE WAS DEPLOYED TO THE RIGHT GROIN SITE AT THE END OF THE PROCEDURE. THE PATIENT IMMEDIATELY DEVELOPED A HEMATOMA. PRESSURE WAS REQUIRED FOR APPROXIMATELY 40 MINUTES IN AN EFFORT TO SECURE HEMOSTASIS. NO ISSUES REPORTED OPERATING THE MYNX CLOSURE DEVICE. DUE TO THE PRESSURE REQUIRED, THE PATIENT ENDED UP HAVING A VAGAL REACTION THAT REQUIRED MEDICATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 919847 | MYNXGRIP VASCULAR CLOSURE | DEVICE, HEMOSTASIS, VASCULAR | MGB | ACCESSCLOSURE, INC. (A CARDINAL HEALTH COMPANY) | MX6721 | 1905202 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 28105 DA | Other |