MAUDE Adverse Event Report: C.R. BARD, INC. (BASD) -3006260740 HICKMAN CV CATHETER, TRIPLE-LUMEN, 10F; CHRONIC CATHETERS

Catalog Number	0606560
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Bacterial Infection (1735); High Pulmonary Arterial Wedge Pressure (2480); Bacteremia (4846)
Date of Event	10/21/2025
Type of Reportable Event	Serious Injury
Event or Problem Description
On (b)(6) 2024, a patient underwent a chronic catheter placement procedure using the hickman cv catheter.1 years 9 months and 4 days post procedure the patient allegedly reported pulmonary hypertension cns and also treated for a staph aureus bacteremia and remains an inpatient.Iv flucloaxacillin and iv gentamicin given for the infection.Line was removed and replaced.The current status of the patient was unknown.
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
On (b)(6) 2024, a patient underwent a chronic catheter placement procedure using the hickman cv catheter.One year nine months and four days post procedure the patient allegedly reported pulmonary hypertension cns and also treated for a staph aureus bacteremia and remains an inpatient.Iv flucloaxacillin and iv gentamicin given for the infection.Line was removed and replaced.The current status of the patient was unknown.
Event or Problem Description
On (b)(6)2024, a patient underwent a chronic catheter placement procedure using the hickman cv catheter.1 years 9 months and 4 days post procedure the patient allegedly reported pulmonary hypertension cns and also treated for a staph aureus bacteremia and remains an inpatient.Iv flucloaxacillin and iv gentamicin given for the infection.Line was removed and replaced.The current status of the patient was unknown.
Additional Manufacturer Narrative
H11: additional information was received indicating that pulmonary hypertension and bacteremia occurred as part of a cascading sequence of events associated with the reported leakage and presence of a hole.Based on this information, the case was reassessed for reportability.As these events are considered part of a cascading sequence, the record is considered to be no longer reportable.However, since an initial mdr has already been submitted, the file will remain assessed as a serious injury.G3.Section a through f: the information provided 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: additional information was received indicating that pulmonary hypotension and bacteremia occurred as part of a cascading sequence of events associated with the reported leakage and presence of a hole.Based on this information, the case was reassessed for reportability.As these events are considered part of a cascading sequence, the record is considered to be no longer reportable.However, since an initial mdr has already been submitted, the file will remain assessed as a serious injury.G3: section a through f: the information provided 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.

• Brand Name: HICKMAN CV CATHETER, TRIPLE-LUMEN, 10F
• 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 Key: 23590795
• Report Number: 3006260740-2025-08795
• Device Sequence Number: 10205956
• Product Code: LJS
• Combination Product (Y/N): N
• Initial Reporter Country: UK
• PMA/510(K) Number: K830233
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2024
• Device Explanted Year: 2025
• Reporter Type: Manufacturer
• Report Source: Other,Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 06/18/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 0606560
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/28/2025
• Supplement Date Received by Manufacturer: 06/05/2026; 06/05/2026
• Initial Report FDA Received Date: 11/19/2025
• Supplement Report FDA Received Date: 06/18/2026; 06/19/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• 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 Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Female