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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARDINAL HEALTH, INC. ARGYLE; CATHETER, UMBILICAL ARTERY

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CARDINAL HEALTH, INC. ARGYLE; CATHETER, UMBILICAL ARTERY Back to Search Results
Model Number 8888160556
Medical Device Problem Codes Fluid/Blood Leak (1250); Connection Problem (2900)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
An investigation is currently underway.Upon completion, the results will be forwarded.
 
Event or Problem Description
The customer reported that the connecter doesn't have a lip to seed the connection, so it can't connect to a clave properly without leaking.The issue was discovered before use.There was no harm reported.
 
Additional Manufacturer Narrative
The device history record (dhr) for lot 2405900120 was reviewed and no anomalies related to the reported issue were observed.Nine sealed, unused devices were received for evaluation and the reported issue was not observed.As part of continuous improvement and due to the similar complaints received for the reported issue, a corrective and preventive action has been initiated to further investigate this issue.
 
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Brand Name
ARGYLE
Common Device Name
CATHETER, UMBILICAL ARTERY
Manufacturer (Section D)
CARDINAL HEALTH, INC.
3651 birchwood drive
waukegan IL 60085
Manufacturer (Section G)
CARDINAL HEALTH, INC.
edificio b20 calle #2 zona fra
alajuela
CS  
Manufacturer Contact
jill saraiva
3651 birchwood drive
waukegan, IL 60085
5086183640
MDR Report Key20453476
Report Number1423537-2024-00234
Device Sequence Number7110789
Product Code FOS
UDI-Device Identifier20884527005182
UDI-Public(01)20884527005182(17)290209(10)2405900120
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K941814
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 12/13/2024
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
Device Model Number8888160556
Device Catalogue Number8888160556
Device Lot Number2405900120
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/30/2024
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date10/15/2024
Supplement Report FDA Received Date12/13/2024
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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