inforMED
InjuryDTL

ACCESSPLUS¿

Received Jul 9, 2026 · Event occurred May 28, 2026

Report 3011642792-2026-00107 · MDR key 25764151

Device

Generic name

Haemostasis Valve

Catalog number

MAP152/CNF

Lot number

I3199386

Product problems

  • Fluid/Blood Leak

Patient

NA · Unknown

  • Hemorrhage/Blood Loss/Bleeding

Narrative

Additional Manufacturer Narrative

THE SUSPECTED DEVICE IS NOT EXPECTED TO RETURN FOR EVALUATION. A FOLLOW UP WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

ON (B)(6) 2026, A NURSE IN THE INTERVENTIONAL DEPARTMENT FOLLOWED THE DOCTOR'S ORDERS TO USE THE ANGIOPLASTY KIT FOR A POST-PROCEDURE CATHETERIZATION PATIENT. AFTER SENDING THE PATIENT TO THE WARD, BLEEDING WAS OBSERVED. THE PATIENT WAS IMMEDIATELY RETURNED TO THE INTERVENTIONAL OPERATING ROOM, THE MICROCATHETER WAS WITHDRAWN, A NEW ANGIOPLASTY KIT WAS REPLACED, AND THE OPERATION WAS COMPLETED. CAUSE ANALYSIS OF EVENT: PRODUCT-RELATED (INCLUDING INSTRUCTIONS, ETC.) DESCRIPTION OF CAUSE ANALYSIS: KIT ISSUE: THE CONNECTIONS OF THE CATHETER, GUIDEWIRE, AND OTHER COMPONENTS OF THE KIT WERE NOT TIGHT, OR THERE WERE QUALITY PROBLEMS WITH THE KIT, WHICH COULD LEAD TO BLEEDING. INITIAL HANDLING: REPLACED WITH A NEW ANGIOPLASTY KIT AND COMPLETED THE OPERATION.