| Brand Name | DIALYSIS.DURAMAX® |
| Common Device Name | CATHETER, HEMODIALYSIS, IMPLANTED |
| Manufacturer (Section D) |
| MERIT MEDICAL SYSTEMS, INC. |
| calle, sor juana ines de la cr |
| roberto de la madrid |
| tijuana, b.c. 22630 |
| MX 22630 |
|
| Manufacturer (Section G) |
| MERIT MEDICAL SYSTEMS, INC. |
| calle, sor juana ines de la cr |
| roberto de la madrid |
| tijuana, b.c. 22630 |
|
MX
22630
|
|
| Manufacturer Contact |
|
adrian
cole
|
| 1600 merit parkway |
| south jordan, UT 84095
|
|
| MDR Report Key | 24429252 |
| Report Number | 1721504-2026-00882 |
| Device Sequence Number | 10244159 |
| Product Code |
MSD
|
| UDI-Device Identifier | 00884450786161 |
| UDI-Public | 00884450786161 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | ES |
| PMA/510(K) Number | K101843 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
03/18/2026 |
| 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? |
No
|
| Device Catalogue Number | H787103028045/A |
| Device Lot Number | I3219456 |
| 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 | 01/26/2026 |
| Supplement Date Received by Manufacturer | 03/17/2026
|
| Initial Report FDA Received Date | 02/24/2026 |
| Supplement Report FDA Received Date | 03/18/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/20/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|