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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARDINAL HEALTH, INC. ARGYLE; APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED

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CARDINAL HEALTH, INC. ARGYLE; APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED Back to Search Results
Model Number 8888505115
Medical Device Problem Code Detachment of Device or Device Component (2907)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Type of Reportable Event Malfunction
Event or Problem Description
The customer reported that during a hip replacement procedure after using the yankauer, it was identified that the tip of the yankauer suction broke off.There were attempts made to locate the tip within the body cavity.After sufficient irrigation/suction and manual exploration of the wound was completed without finding the piece it was decided to close the patient.Xray's were also performed intraoperatively, that showed no retained device.The concern was since this piece was plastic, it may not show up on x-ray.Per customer, to date the patient has not had to have a re-operation or any ill effects.The patient is currently doing well with recovery.
 
Additional Manufacturer Narrative
An investigation is currently underway.Upon completion, the results will be forwarded.
 
Additional Manufacturer Narrative
The device history record (dhr) for lot 2326833664 was reviewed and no anomalies related to the reported issue were observed.There were no photos or physical samples received for evaluation.Because a sample was not returned, we were unable to perform a follow up investigation to include functional and visual evaluations to confirm the issue and root cause analysis.Based on this information, no corrective actions are warranted at this time.We will continue to track and trend through our monitoring programs and take actions as applicable.Section d4: originally, the customer provided an inaccurate expiration date and has been revised to reflect the correct expiration date.
 
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Brand Name
ARGYLE
Common Device Name
APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED
Manufacturer (Section D)
CARDINAL HEALTH, INC.
3651 birchwood drive
waukegan IL 60085
Manufacturer (Section G)
CARDINAL HEALTH, INC.
calle 9 sur no. 125 cuidad ind
tijuana 22500
MX   22500
Manufacturer Contact
jill saraiva
3651 birchwood drive
waukegan, IL 60085
5086183640
MDR Report Key21350279
Report Number1423537-2025-00072
Device Sequence Number8950137
Product Code GCX
UDI-Device Identifier10884527019984
UDI-Public(01)10884527019984(17)280831(10)2326833664
Combination Product (Y/N)N
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 03/05/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model Number8888505115
Device Catalogue Number8888505115
Device Lot Number2326833664
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/03/2025
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date02/10/2025
Supplement Report FDA Received Date03/05/2025
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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