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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONVATEC INC CURE PRODUCTS; CATHETER, STRAIGHT

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CONVATEC INC CURE PRODUCTS; CATHETER, STRAIGHT Back to Search Results
Model Number M14
Medical Device Problem Code Unsealed Device Packaging (1444)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Based on the available information, this event is deemed to be a reportable malfunction.To date no additional information has been received.Should additional information become available, a follow-up report will be submitted.Fda registration number reporting site: 1049092 manufacturing site: 3005471919.
 
Event or Problem Description
It was reported the "package not sealed properly.".
 
Additional Manufacturer Narrative
The emdr with manufacturer report number mdr 1049092-2024-00114, submitted on 09/23/2024 was submitted in error as this case was determined to be not reportable based on additional information received.Please retract the report.
 
Event or Problem Description
Additional information was received that stated the end user was misusing the product.No actual product malfunction occurred.
 
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Brand Name
CURE PRODUCTS
Common Device Name
CATHETER, STRAIGHT
Manufacturer (Section D)
CONVATEC INC
211 american avenue
greensboro NC 27409
Manufacturer (Section G)
CONVATEC INC
211 american avenue
greensboro NC 27409
Manufacturer Contact
pamela meadows
7815 national service road
suite 600
greensboro, NC 27409
3365424679
MDR Report Key20278383
Report Number1049092-2024-00114
Device Sequence Number15450486
Product Code EZD
UDI-Device Identifier00815947020031
UDI-Public00815947020031
Combination Product (Y/N)N
Initial Reporter StateOK
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer,Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 09/16/2024
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
Operator of Device Lay User/Patient
Device Model NumberM14
Device Lot Number23B00202
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/16/2024
Supplement Date Received by Manufacturer09/26/2024
Initial Report FDA Received Date09/23/2024
Supplement Report FDA Received Date10/02/2024
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/01/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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