| Brand Name | Progel Pleural Air Leak Sealant |
| Common Device Name | Sealant, polymerizing |
| Manufacturer (Section D) |
| Neomend Inc -2953195 |
| 60 technology drive |
| irvine CA 92618 |
|
| Manufacturer (Section G) |
| Neomend Inc -2953195 |
| 60 technology drive |
|
| irvine CA 92618 |
|
| Manufacturer Contact |
|
andrew
topoulos
|
| 100 crossings blvd. |
| warwick, RI 02886
|
|
+1(800)556-6756
|
|
| MDR Report Key | 50160183 |
| Report Number | 1213643-2026-01020 |
| Device Sequence Number | 9407112 |
| Product Code |
NBE
|
| UDI-Device Identifier | 00801741010026 |
| UDI-Public | (01)00801741010026(17)271001(10)IRLR0033 |
| Combination Product (Y/N) | Y |
| Initial Reporter State | NY |
| Initial Reporter Country | US |
| PMA/510(K) Number | P010047 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,User Facility,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/23/2026 |
| 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 Catalogue Number | PGPS002 |
| Device Lot Number | IRLR0033 |
| 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 | 07/22/2026 |
| Initial Report FDA Received Date | 08/06/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 05/19/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |