MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign,health pr report with the FDA on 2020-03-24 for ARROW CVC SET: 2-LUMEN 7 FR X 20 CM CS-27702-E manufactured by Arrow International Inc..
[184817882]
Qn#: (b)(4).
Patient Sequence No: 1, Text Type: N, H10
[184817883]
The doctor found the guidewire was bent and couldn't get in prior to patient use. Another device was used to complete the procedure.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3006425876-2020-00263 |
| MDR Report Key | 9873542 |
| Report Source | DISTRIBUTOR,FOREIGN,HEALTH PR |
| Date Received | 2020-03-24 |
| Date of Report | 2020-03-11 |
| Date of Event | 2019-12-01 |
| Date Mfgr Received | 2020-03-11 |
| Device Manufacturer Date | 2018-02-13 |
| Date Added to Maude | 2020-03-24 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MARGIE BURTON, RN |
| Manufacturer Street | 3015 CARRINGTON MILL BLVD |
| Manufacturer City | MORRISVILLE NC 27560 |
| Manufacturer Country | US |
| Manufacturer Postal | 27560 |
| Manufacturer Phone | 9194334965 |
| Manufacturer G1 | ARROW INTERNATIONAL CR, A.S. |
| Manufacturer Street | JAMSKA 2359/47 |
| Manufacturer City | ZDAR NAD SAZAVOU 591 01 |
| Manufacturer Country | EZ |
| Manufacturer Postal Code | 591 01 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ARROW CVC SET: 2-LUMEN 7 FR X 20 CM |
| Generic Name | CATHETER INTRAVASCULAR THERAPE |
| Product Code | FOZ |
| Date Received | 2020-03-24 |
| Catalog Number | CS-27702-E |
| Lot Number | 71F18B1384 |
| Device Expiration Date | 2020-01-17 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ARROW INTERNATIONAL INC. |
| Manufacturer Address | READING PA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-24 |