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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTERVASCULAR SAS INTERGARD KNITTED STRAIGHT; PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER

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INTERVASCULAR SAS INTERGARD KNITTED STRAIGHT; PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER Back to Search Results
Model Number IGK0010-40
Medical Device Problem Code Moisture or Humidity Problem (2986)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/28/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported to intervascular that the customer alleged that humidity levels were over 80% for more than 24 hours and did reach 100%.The distributor, intermed had one of reps visit the customer site for an on-site inspection of the products.Some products had bubbling on the labelling.It was described that all products felt cold as if like they were defrosted.It was suspected that the products were exposed to extremely high levels of moisture.The impacted products include 12 intervascular hemagard and intergard grafts.Twelve separate complaints were created for each affected products.Accordingly, twelve individual emdr submissions will be submitted.This emdr is part of a series of twelve emdrs submitted for the same event.
 
Additional Manufacturer Narrative
(4114) the actual device involved in the event was not returned for testing despite requests by manufacturer.Intervascular informed the customer that the affected products must not be used.Exposure to such environmental conditions may compromise product integrity and sterility.(4111/193/4308) based on the analysis of the information provided, the root cause of the adverse event is related to a storage issue at customer site.Indeed, all products have been stored in the hospital since january, and the humidity excursion was reported at the customer site.As indicated in the product ifu, the storage section states:"store in a dry, dust-free conditions at a temperature not exceeding 25°c".
 
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Brand Name
INTERGARD KNITTED STRAIGHT
Common Device Name
PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER
Manufacturer (Section D)
INTERVASCULAR SAS
zone industrielle athelia i
la ciotat 13705
FR  13705
Manufacturer (Section G)
INTERVASCULAR SAS
zone industrielle athelia i
la ciotat 13705
FR   13705
Manufacturer Contact
clemence vaneenoge
zone industrielle athelia i
la ciotat 13705
FR   13705
442084646
MDR Report Key24715127
Report Number1640201-2026-0000016
Device Sequence Number20253252
Product Code DSY
UDI-Device Identifier00384401000389
UDI-Public(01)00384401000389
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K964625
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Distributor
Initial Reporter Occupation Nurse
Type of Report Initial
Report Date (Section B) 03/27/2026
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
Operator of Device Health Professional
Device Model NumberIGK0010-40
Device Catalogue NumberIGK0010-40
Device Lot Number24M19
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/02/2026
Initial Report FDA Received Date03/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/19/2024
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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