LOGICATH? CATHETER MXA232X16X40J-NIT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-07-11 for LOGICATH? CATHETER MXA232X16X40J-NIT manufactured by Smiths Medical Asd, Inc..

Event Text Entries

[113945875] Investigation was performed on a smiths medical catheter. No failure was detected when dhr was performed. No actual device was returned, however customer did provide photographs. According to the provided pictures a damage or deviation on the catheter delta cannot be determined. No picture of the suture wing and clip was provided and therefore it is unknown if the suture wing and clip was used to fix the catheter. Within the ifu for the logicath single and multiple lumen cvcs 004/009/104a there is exactly written how to fix the catheter safely. On the one hand it is described how to fix the catheter with the delta. On the other hand it's also mentioned how to fix the cvc with the help of the moveable suture wing and clip. Based on the above information it is felt that this incident is not due to a product failure of the catheter. The reported failure could not be confirmed with the provided pictures and missing sample.
Patient Sequence No: 1, Text Type: N, H10


[113945876] Information was received that a smiths medical central venous catheter was difficult to place. This happened during testing of the device. No patient injury resulted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3012307300-2018-02772
MDR Report Key7679197
Date Received2018-07-11
Date of Report2018-07-11
Date of Event2018-05-29
Date Mfgr Received2018-06-13
Date Added to Maude2018-07-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDAVE HALVERSON
Manufacturer Street6000 NATHAN LANE NORTH
Manufacturer CityMINNEAPOLIS MN 55442
Manufacturer CountryUS
Manufacturer Postal55442
Manufacturer Phone7633833310
Manufacturer G1SMITHS MEDICAL ASD, INC.
Manufacturer StreetBRETONISCHER RING 3
Manufacturer CityGRASBRUNN, 85630
Manufacturer CountryGM
Manufacturer Postal Code85630
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLOGICATH? CATHETER
Generic NameCANNULA, CATHETER
Product CodeDQR
Date Received2018-07-11
Returned To Mfg2018-06-26
Catalog NumberMXA232X16X40J-NIT
Lot Number3422810
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSMITHS MEDICAL ASD, INC.
Manufacturer Address6000 NATHAN LANE NORTH MINNEAPOLIS MN 55442 US 55442


Patients

Patient NumberTreatmentOutcomeDate
10 2018-07-11

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