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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (BASD) -3006260740 BROVIAC CV CATHETER, SINGLE-LUMEN, 6.6F; CHRONIC CATHETERS

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C.R. BARD, INC. (BASD) -3006260740 BROVIAC CV CATHETER, SINGLE-LUMEN, 6.6F; CHRONIC CATHETERS Back to Search Results
Catalog Number 0600120
Medical Device Problem Codes Burst Container or Vessel (1074); Difficult to Flush (1251); Fracture (1260); Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/16/2025
Type of Reportable Event Malfunction
Event or Problem Description
A patient underwent a chronic catheter placement procedure using the broviac cv catheter.28 days post procedure on (b)(6) 2025, it was noted that the flushing was not smooth, and after removing using surgery, it was found that the tube was ruptured.
 
Additional Manufacturer Narrative
H11: as the lot number for the device was not provided, a review of the device history records could not be performed.The sample was not returned to the manufacturer for inspection/evaluation.Therefore, the investigation of the reported event is inconclusive.Based upon the available information, the definitive root cause for this event is unknown.The instructions for use (ifu) is adequate for the reported device/patient code(s) and provides general instructions for use, as well as warnings, precautions and potential complications associated with the device.Upon receipt of new or additional information, a follow-up report will be submitted as applicable.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
A patient underwent a chronic catheter placement procedure using the broviac cv catheter.The product was placed in the patient's body.After 28 days post the procedure, it was noted that the flushing was not smooth, and after removing it using surgery, it was found that the tube was ruptured.Additionally, only one hole was noted.There were no reported patient injuries.
 
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 device has been returned to the manufacturer for evaluation.The investigation of the reported event is currently underway.B5, d4 (medical device lot #, medical device expiration date, 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.
 
Additional Manufacturer Narrative
H11: manufacturing review: a manufacturing review was not required as this is the only complaint reported to date for this product and lot.Investigation summary: one s/l catheter was returned for sample evaluation.Gross, visual, microscopic visual, tactile and functional evaluations were performed.A s-shaped split was noted on the catheter body on the distal end.No other catheter segment was returned.The edges of the s-shaped split were noted to be uneven, and surface was noted to be granular in both regions.Upon infusion, a leak from the s-shaped split was noted.Aspiration was attempted and was unsuccessful.Flushing issue was due to catheter fracture and aspiration were failed during functional testing.Therefore, the investigation is confirmed for the reported fracture and flushing difficulty.However, the investigation is unconfirmed for the reported material hole as no hole were noted during sample evaluation.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.G3, h6 (component, 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.
 
Event or Problem Description
A patient underwent a chronic catheter placement procedure using the broviac cv catheter.The product was placed in the patient's body.After 28 days post the procedure, it was noted that the flushing was not smooth, and after removing it using surgery, it was found that the tube was ruptured.Additionally, only one hole was noted.There were no reported patient injuries.
 
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Brand Name
BROVIAC CV CATHETER, SINGLE-LUMEN, 6.6F
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)
BARD SHANNON LIMITED -3005636544
san geronimo industrial park
lot #1, road #3, km 79.7
humacao PR 00791
Manufacturer Contact
brett curtice
800 w. rio salado pkwy
tempe, AZ 85281
4803032689
MDR Report Key23377311
Report Number3006260740-2025-07999
Device Sequence Number8899789
Product Code LJS
UDI-Device Identifier00801741051715
UDI-Public(01)00801741051715(17)270628(10)HUGT2030
Combination Product (Y/N)N
Initial Reporter CountryTW
PMA/510(K) Number
K830256
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Nurse
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 05/07/2026
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 Number0600120
Device Lot NumberHUGT2030
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 09/29/2025
Supplement Date Received by Manufacturer11/07/2025
12/30/2025
05/07/2026
Initial Report FDA Received Date10/24/2025
Supplement Report FDA Received Date12/04/2025
01/02/2026
05/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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