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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CORDIS US CORP. INFINITI; CATHETER, INTRAVASCULAR, DIAGNOSTIC

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CORDIS US CORP. INFINITI; CATHETER, INTRAVASCULAR, DIAGNOSTIC Back to Search Results
Catalog Number 534550S
Device Problem Partial Blockage (1065)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/15/2023
Event Type  malfunction  
Manufacturer Narrative
A product history record (phr) review of lot 18155305 revealed no anomalies or non-conformances during the manufacturing and inspection processes that could be associated with the event reported.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, after catheter flushing and review, the staff recorded that a 5f 110cm 6 side holes (6sh) infiniti diagnostic pigtail catheter did not contain the side holes as usual.The catheter was not introduced in the patient and was marked as a claim/adverse event.The intended procedure was reported to be a percutaneous coronary intervention (pci) catheterization.Another unknown diagnostic catheter was used to complete the procedure.There was no reported patient injury.The medical staff took the procedure as per the instruction for use (ifu).On the preparing table the device was flushed with cold saline during handling in accordance with the ifu and the device did not contain side holes.The product was stored according to the ifu.The packaging of the medical device was without any defect and the sterile packaging was without any damage.Before introducing it to the patient, visual control of the infiniti catheter was performed.The complaint device is expected to be returned for evaluation.The event was reported by the hospital to the local competent authority (ca) as an adverse event.Device pictures were received for review.
 
Manufacturer Narrative
The device was received for analysis, but the engineering report is not yet available.Additional information is pending and will be submitted within 30 days upon receipt.
 
Manufacturer Narrative
As reported, after catheter flushing and review, the staff recorded that a 5f 110cm 6 side holes (6sh) infiniti diagnostic pigtail catheter did not contain the side holes as usual.The catheter was not introduced in the patient and was marked as a claim/adverse event.The intended procedure was reported to be a percutaneous coronary intervention (pci) catheterization.Another unknown diagnostic catheter was used to complete the procedure.There was no reported patient injury.The medical staff took the procedure as per the instruction for use (ifu).On the preparing table the device was flushed with cold saline during handling in accordance with the ifu and the device did not contain side holes.The product was stored according to the ifu.The packaging of the medical device was without any defect and the sterile packaging was without any damage.Before introducing it to the patient, visual control of the infiniti catheter was performed.One non-sterile unit of cath f5 inf pig 110cm 6sh was received for analysis.Per visual inspection, the side holes on the catheter were missing.A product history record (phr) review of lot 18155305 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The complaint reported by the customer as ¿catheter (body/shaft)- no side holes-pigtail catheter¿ was confirmed.The pigtail catheter does not contain side holes.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, ¿¿¿manipulation of the catheter under excessive friction due to interaction with other devices or while trapped in the vasculature, can lead to stretching or elongation of the catheter.Stretching or elongation of the catheter during endovascular procedures could result in the marker bands moving along the catheter.In extreme cases, marker bands may come off the catheter and dislodge into the vascular system.Do not use if the package is open or damaged.¿ per analysis of the returned device, the missing side holes was found to be manufacturing related and a risk assessment was initiated to address this issue.
 
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Brand Name
INFINITI
Type of Device
CATHETER, INTRAVASCULAR, DIAGNOSTIC
Manufacturer (Section D)
CORDIS US CORP.
14201 nw 60th avenue
miami lakes, florida 33014
Manufacturer (Section G)
CORDIS US CORP.
14201 nw 60 avenue
miami lakes, florida 33014
Manufacturer Contact
karla castro
santiago troncoso 808
juarez, chihuahua 
7863138372
MDR Report Key17926535
MDR Text Key325872099
Report Number9616099-2023-06609
Device Sequence Number1
Product Code DQO
UDI-Device Identifier10705032013918
UDI-Public10705032013918
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K970854
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,Followup
Report Date 12/04/2023
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 Number534550S
Device Lot Number18155305
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 09/21/2023
Initial Date FDA Received10/12/2023
Supplement Dates Manufacturer Received10/18/2023
12/01/2023
Supplement Dates FDA Received11/01/2023
12/04/2023
Was Device Evaluated by Manufacturer? No
Date Device Manufactured10/14/2022
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 AVAILABLE.
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