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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CORDIS US CORP. VISTA BRITE TIP; CATHETER, PERCUTANEOUS

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CORDIS US CORP. VISTA BRITE TIP; CATHETER, PERCUTANEOUS Back to Search Results
Catalog Number 67005400
Device Problem Material Puncture/Hole (1504)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/02/2024
Event Type  malfunction  
Manufacturer Narrative
The device is available for analysis but has not yet been received.Additional information is pending and will be submitted within 30 days upon receipt.
 
Event Description
As reported, service declared that the carrier probe of a 6f vista brite tip extra back-up 3.5 (xb 3.5) guiding catheter is defective, having been pierced at its origin, and is unusable.There was no reported patient injury.The device is expected to be returned for evaluation.
 
Manufacturer Narrative
As reported, service declared that the carrier probe of a 6f vista brite tip extra back-up 3.5 (xb 3.5) guiding catheter is defective, having been pierced at its origin, and is unusable.There was no reported patient injury.Without the return of the device or images for analysis, the reported customer event ¿catheter (body/shaft)-puncture/cut¿ could not be confirmed.Storage, procedural and/or handling factors may have contributed to the reported event.Users are trained to inspect for signs of damage prior to and during use.Any product with damage is not to be used.Information for safety is provided in the products labeling with the intent to make the user aware of the risks.According to the instructions for use (ifu), although not intended as a mitigation of risk, ¿store in a cool, dark, dry place.Do not use if package is open or damaged.To prevent damage to the catheter tip during removal from the package, grasp the hub and withdraw the catheter.¿ based on the available information, there is no indication that the event is related to the device design or manufacturing process.Therefore, no preventative or corrective actions will be taken at this time.
 
Event Description
Multiple attempts to obtain supplemental information were made; however, additional event details were not provided.The device was not returned for evaluation.
 
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Brand Name
VISTA BRITE TIP
Type of Device
CATHETER, PERCUTANEOUS
Manufacturer (Section D)
CORDIS US CORP.
14201 nw 60th avenue
miami lakes, florida 33014
Manufacturer (Section G)
CORDIS US CORP.
14201 nw 60th avenue
miami lakes, florida 33014
Manufacturer Contact
karla castro
santiago troncoso 808
juarez, chihuahua 
7863138372
MDR Report Key18817423
MDR Text Key337211305
Report Number9616099-2024-00068
Device Sequence Number1
Product Code DQY
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K021593
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/13/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/01/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number67005400
Device Lot Number18254010
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received03/07/2024
Was Device Evaluated by Manufacturer? No
Date Device Manufactured10/27/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
N/A.
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