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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW CVC SET: 16 GA X 8IN (20 CM); CATHETER,INTRAVASCULAR,THERAP

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ARROW INTERNATIONAL LLC ARROW CVC SET: 16 GA X 8IN (20 CM); CATHETER,INTRAVASCULAR,THERAP Back to Search Results
Catalog Number CS-24301-E
Medical Device Problem Code Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/17/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).
 
Event or Problem Description
It was reported that "on (b)(6) 2025, anesthesiology department, (b)(6) hospital the doctor feedback when remove the swg, the swg was found kinked during use on the patient." the user changed to a new set to resolve the issue.There was no medical intervention required.The patient's current condition is reported as "fine".
 
Additional Manufacturer Narrative
(b)(4) the customer provided one image for analysis.The image shows a guidewire containing one kink around the middle of its body.No other damage was observed to the guidewire.The customer also returned an opened cvc kit containing no components inside.Visual analysis could not be performed on the guidewire or ars/18ga introducer needle subassembly, as they were not returned.A device history record review was performed, and no relevant findings were identified.The ifu provided with the kit informs the user, "do not use excessive force when introducing guidewire or tissue dilator as this can lead to vessel perforation, bleeding, or component damage".The ifu also states, "do not apply excessive force in placing or removing catheter or guidewire.Excessive force can cause component damage or breakage.If damage is suspected or withdrawal cannot be easily accomplished, radiographic visualization should be obtained and further consultation requested".The customer report of a kinked guidewire was confirmed through investigation of the customer-provided photo.However, full complaint verification testing could not be performed as no components were returned inside the kit for analysis.A device history record review was performed, and no relevant findings were identified.Without the device to evaluate, the probable cause could not be determined from the available information.Teleflex will continue to monitor and trend for reports of this nature.
 
Event or Problem Description
It was reported that "on (b)(6) 2025, anesthesiology department, (b)(6) hospital the doctor feedback when remove the swg, the swg was found kinked during use on the patient." the user changed to a new set to resolve the issue.There was no medical intervention required.The patient's current condition is reported as "fine".
 
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Brand Name
ARROW CVC SET: 16 GA X 8IN (20 CM)
Common Device Name
CATHETER,INTRAVASCULAR,THERAP
Manufacturer (Section D)
ARROW INTERNATIONAL LLC
morrisville NC
Manufacturer (Section G)
ARROW INTERNATIONAL CR, A.S.
jamska 2359/47
zdar nad sazavou 591 0 1
EZ   591 01
Manufacturer Contact
katharine tarpley
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key23259953
Report Number3006425876-2025-00932
Device Sequence Number4968110
Product Code FOZ
UDI-Device Identifier00801902102225
UDI-Public(01)00801902102225(11)240605(17)260430(10)71F24E1346(21)
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K900263
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 09/17/2025
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 Expiration Date04/30/2026
Device Catalogue NumberCS-24301-E
Device Lot Number71F24E1346
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/29/2025
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/17/2025
Supplement Date Received by Manufacturer10/16/2025
Initial Report FDA Received Date10/09/2025
Supplement Report FDA Received Date10/27/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/05/2024
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
Concomitant Medical Products
and Therapy/Usage Dates
NOT REPORTED; NOT REPORTED
Patient SexUnknown
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