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