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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (BASD) -3006260740 NAVARRE UNIVERSAL DRAIN; CHRONIC CATHETERS

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C.R. BARD, INC. (BASD) -3006260740 NAVARRE UNIVERSAL DRAIN; CHRONIC CATHETERS Back to Search Results
Catalog Number NNU12LPT
Medical Device Problem Codes Nonstandard Device (1420); Defective Component (2292)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/14/2025
Type of Reportable Event Malfunction
Event or Problem Description
On (b)(6) 2025, a patient underwent an ultrasound guided hydrothorax percutaneous drainage catheter placement procedure using navarre universal drainage catheter.During the preparation procedure, the length of the trocar needle was allegedly shorter than the catheter.The procedure was completed using another device.There was no patient contact.
 
Additional Manufacturer Narrative
H11: as the lot number for the device was provided, a review of the device history records is currently being performed.The return of the sample is pending.However, photos were provided for review.The investigation of the reported event is currently underway.Section a through f ¿ the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
On (b)(6) 2025, a patient prepped for an ultrasound guided hydrothorax percutaneous drainage catheter placement procedure using navarre universal drainage catheter.Prior to the procedure, the length of the trocar needle was allegedly shorter than the catheter.The procedure was completed using another device.There was no patient contact.
 
Additional Manufacturer Narrative
H11: manufacturing review: the device history records have been reviewed, and this lot met all release criteria.Investigation summary: one 12fr navarre drainage catheter was returned for evaluation.Visual and functional evaluations were performed on the returned device.The inner stylet was returned within the cannula and catheter.The inner stylet and cannula were not locked into place at the catheter hub.The distal tip of the stylet was not noted at the distal end of the catheter.An attempt to load the inner stylet into the cannula was performed and was successful with slight resistance.The stylet and cannula locked into place without issue.An attempt to load the inner stylet and the cannula into the catheter was performed and was successful with slight resistance.The stylet and cannula locked into place without issue.The distal tip of the stylet was slightly noted at the distal end of the catheter.Based on measurements, the measured length of the catheter and the length of the stylet needle the protruding portion of the stylet is within specifications.Therefore, the investigation is unconfirmed for the reported length of trocar shorter than the catheter issue.The definitive root cause could not be determined based upon available information.Labeling review: as the reported event did not allege a labeling or use related issue, a labeling review is not required.D4 (unique identifier (udi) #), g3, h6 (device, method, result, conclusion).Section a through f ¿ the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
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Brand Name
NAVARRE UNIVERSAL DRAIN
Common Device Name
CHRONIC CATHETERS
Manufacturer (Section D)
C.R. BARD, INC. (BASD) -3006260740
605 north 5600 west
salt lake city 84116
Manufacturer (Section G)
C.R. BARD, INC. (GFO)
289 bay road
queensbury 12804
Manufacturer Contact
brett curtice
800 w. rio salado pkwy
tempe, AZ 85281
4803032689
MDR Report Key22466855
Report Number3006260740-2025-04649
Device Sequence Number12726011
Product Code GBX
UDI-Device Identifier00801741036934
UDI-Public(01)00801741036934(11)240228(17)270128(10)GFHZ0723
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K951475
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 11/07/2025
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 Health Professional
Device Catalogue NumberNNU12LPT
Device Lot NumberGFHZ0723
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/15/2025
Supplement Date Received by Manufacturer11/13/2025
Initial Report FDA Received Date07/10/2025
Supplement Report FDA Received Date11/13/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/28/2024
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 Initial
Patient Sequence Number1
Patient SexUnknown
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