• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MERIT MEDICAL SYSTEMS, INC. RESOLVE®; CLOSED-WOUND DRAIN

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

MERIT MEDICAL SYSTEMS, INC. RESOLVE®; CLOSED-WOUND DRAIN Back to Search Results
Catalog Number RLC-12-038MB
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Pneumothorax (2012)
Date of Event 01/12/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that a drainage catheter was used to treat a female patient with cancer.The primary use of the device was for percutaneous drainage of fluid other than bile, with indication of pleural effusion.The location of the drain was the pleural space, and was in use for 18 days.During this time the patient experienced a pneumothorax.The device was removed on (b)(6) 2026.No additional information available.
 
Additional Manufacturer Narrative
The suspect device was not returned for evaluation.The complaint could not be confirmed.The root cause could not be determined.A review of the device history and complaint database could not be performed since the lot number was not provided.Nonconformances of this nature are monitored by the operation team.This complaint will be used to trend for similar complaints.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
RESOLVE®
Common Device Name
CLOSED-WOUND DRAIN
Manufacturer (Section D)
MERIT MEDICAL SYSTEMS, INC.
calle, sor juana ines de la cr
roberto de la madrid
tijuana, b.c. 22630
MX  22630
Manufacturer (Section G)
MERIT MEDICAL SYSTEMS, INC.
calle, sor juana ines de la cr
roberto de la madrid
tijuana, b.c. 22630
MX   22630
Manufacturer Contact
adrian cole
1600 merit parkway
south jordan, UT 84095
8012084225
MDR Report Key24861236
Report Number3011642792-2026-00004
Device Sequence Number10549861
Product Code GBX
UDI-Device Identifier00884450580639
UDI-Public00884450580639
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,Consumer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 04/13/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Catalogue NumberRLC-12-038MB
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/20/2026
Initial Report FDA Received Date04/13/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient Age21 YR
Patient SexFemale
-
-