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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW ARTERIAL CATH SET; CATHETER, PERCUTANEOUS

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ARROW INTERNATIONAL LLC ARROW ARTERIAL CATH SET; CATHETER, PERCUTANEOUS Back to Search Results
Catalog Number VASCULAR UNKNOWN
Device Problems Incorrect, Inadequate or Imprecise Result or Readings (1535); Obstruction of Flow (2423); Deformation Due to Compressive Stress (2889)
Patient Problem Insufficient Information (4580)
Event Date 03/10/2023
Event Type  malfunction  
Manufacturer Narrative
Qn#(b)(4).
 
Event Description
It was reported that: incident occured on (b)(6) 2023.3 days after surgery, the arterial catheter was no longer functional.It was impossible to get a reliable wave curve and to sample blood.The arterial catheter was removed and after removal we observed it was kinked.
 
Manufacturer Narrative
(b)(4).Complaint verification testing could not be performed as it was reported that the sample is not available for return.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: incident occured on 10 march 2023.3 days after surgery, the arterial catheter was no longer functional.It was impossible to get a reliable wave curve and to sample blood.The arterial catheter was removed and after removal we observed it was kinked.
 
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Brand Name
ARROW ARTERIAL CATH SET
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 Key16734365
MDR Text Key313240449
Report Number3006425876-2023-00341
Device Sequence Number1
Product Code DQY
Combination Product (y/n)N
Reporter Country CodeFR
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 03/20/2023
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 Catalogue NumberVASCULAR UNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/20/2023
Initial Date FDA Received04/13/2023
Supplement Dates Manufacturer Received06/05/2023
Supplement Dates FDA Received06/06/2023
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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