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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW ARTERIAL CATH SET: 18GA X 23CM; CATHETER PERCUTANEOUS

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ARROW INTERNATIONAL LLC ARROW ARTERIAL CATH SET: 18GA X 23CM; CATHETER PERCUTANEOUS Back to Search Results
Catalog Number SAC-01618-PBX
Device Problems Obstruction of Flow (2423); Deformation Due to Compressive Stress (2889)
Patient Problem Insufficient Information (4580)
Event Date 03/01/2023
Event Type  malfunction  
Manufacturer Narrative
(b)(4).
 
Event Description
It was reported that: "we are facing difficulties with the insertion of arterial catheters: we are recommended to insert with an angle of 30 , which is difficult in practical.Devices can kink so they cannot be used anymore.Catheters blockage are frequent." customer reported the issue occurs both during insertion and after the catheter has been placed.Customer has experienced "all types of situations" such as "patent but without return, return but without arterial curve, complete thrombosis of device".Intervention reported as "moving the catheter, change on guide, remove and re-insertion when necessary".No specific patient information was available.
 
Manufacturer Narrative
(b)(4).Complaint verification testing could not be performed as it was reported that the sample is not available for return.The customer did not provide a lot number; therefore, a device history record review was performed based upon a lot number from the sales history data of the customer.No relevant findings were identified.Without the device to evaluate the complaint could not be confirmed and the probable cause could not be determined from the available information.Teleflex will continue to monitor and trend for reports of this nature.
 
Event Description
It was reported that: "we are facing difficulties with the insertion of arterial catheters: we are recommended to insert with an angle of 30 , which is difficult in practical.Devices can kink so they cannot be used anymore.Catheters blockage are frequent." customer reported the issue occurs both during insertion and after the catheter has been placed.Customer has experienced "all types of situations" such as "patent but without return, return but without arterial curve, complete thrombosis of device".Intervention reported as "moving the catheter, change on guide, remove and re-insertion when necessary".No specific patient information was available.
 
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Brand Name
ARROW ARTERIAL CATH SET: 18GA X 23CM
Type of Device
CATHETER PERCUTANEOUS
Manufacturer (Section D)
ARROW INTERNATIONAL LLC
morrisville NC
Manufacturer (Section G)
ARROW INTERNATIONAL CR, A.S.
jamska 2359/47
zdar nad sazavou 591 0 1
EZ   591 01
Manufacturer Contact
katharine tarpley
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key16616586
MDR Text Key312282416
Report Number3006425876-2023-00338
Device Sequence Number1
Product Code DQY
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K171146
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,User Facility,Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/01/2023
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
Device Operator Health Professional
Device Catalogue NumberSAC-01618-PBX
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/01/2023
Initial Date FDA Received03/25/2023
Supplement Dates Manufacturer Received04/20/2023
Supplement Dates FDA Received04/20/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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
NOT REPORTED; NOT REPORTED
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