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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARDINAL HEALTH 200, LLC ARGYLE; CATHETER, UMBILICAL ARTERY

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CARDINAL HEALTH 200, LLC ARGYLE; CATHETER, UMBILICAL ARTERY Back to Search Results
Model Number 8888160333
Medical Device Problem Code Fluid/Blood Leak (1250)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/25/2025
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 catheter noted to be leaking iv fluids at the connection between the catheter and the butterfly plastic clip portion.There was no harm reported.
 
Additional Manufacturer Narrative
The device history record review could not be performed since no lot number was provided.There were no photos or physical samples received for evaluation.Because a sample was not returned, we were unable to perform a follow up investigation to include functional and visual evaluations to confirm the issue and root cause analysis.At this time, a corrective and preventive action is not deemed necessary.We will continue to track and trend through our monitoring programs and take actions as applicable.
 
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Brand Name
ARGYLE
Common Device Name
CATHETER, UMBILICAL ARTERY
Manufacturer (Section D)
CARDINAL HEALTH 200, LLC
3651 birchwood drive
waukegan IL 60085
Manufacturer (Section G)
CARDINAL HEALTH
edificio b20 calle #2 zona fra
alajuela
CS  
Manufacturer Contact
jill saraiva
3651 birchwood drive
waukegan, IL 60085
5086183640
MDR Report Key23025884
Report Number1423537-2025-00359
Device Sequence Number9483521
Product Code FOS
UDI-Device Identifier10192253040302
UDI-Public(01)10192253040302
Combination Product (Y/N)N
Initial Reporter StateVA
Initial Reporter CountryUS
PMA/510(K) Number
K130725
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative,Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 10/20/2025
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
Device Model Number8888160333
Device Catalogue Number8888160333
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/03/2025
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date09/11/2025
Supplement Report FDA Received Date10/20/2025
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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