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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COOK INC AUROUS CENTIMETER SIZING CATHETER; DQO CATHETER, INTRAVASCULAR, DIAGNOSTIC

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COOK INC AUROUS CENTIMETER SIZING CATHETER; DQO CATHETER, INTRAVASCULAR, DIAGNOSTIC Back to Search Results
Model Number G47308
Medical Device Problem Code Crack (1135)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/18/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the "wall" of an aurous centimeter sizing catheter "cracked" below the hub of the catheter during a transjugular intrahepatic portosystemic shunt (tips) procedure.The user noted a "weird rating", when the pressure monitor was turned on.The user noted bodily fluid leaking, and the crack was identified.The hub was not wiped with any cleaning solution.A power injector was not used; rather manual hand injection was performed.The procedure was completed by using a different unspecified catheter.A section of the device did not remain inside the patient's body.The patient did not experience any adverse effects or require any additional procedures due to this occurrence.
 
Additional Manufacturer Narrative
D4 catalog #: n5.0-35-100-p-10s-pig-csc-20-01 this report includes information known at this time.A follow-up report will be submitted should additional relevant information become available.This report is required by the fda under 21 cfr part 803 and is based on unconfirmed information submitted by others.Neither the submission of this report nor any statement contained herein is intended to be an admission that any cook device is defective or malfunctioned, that a death or serious injury occurred, nor that any cook device caused, contributed to, or is likely to cause or contribute to a death or serious injury if a malfunction occurred.
 
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Brand Name
AUROUS CENTIMETER SIZING CATHETER
Common Device Name
DQO CATHETER, INTRAVASCULAR, DIAGNOSTIC
Manufacturer (Section D)
COOK INC
750 daniels way
bloomington IN 47404
Manufacturer (Section G)
COOK INC
750 daniels way
bloomington IN 47404
Manufacturer Contact
jason crouch
750 daniels way
bloomington, IN 47404
8123392235
MDR Report Key24703520
Report Number1820334-2026-00330
Device Sequence Number10151519
Product Code DQO
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K162448
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial,Followup
Report Date (Section B) 10/01/2026
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 Model NumberG47308
Device Lot Number16448503
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/04/2026
Supplement Date Received by Manufacturer09/15/2026
Initial Report FDA Received Date03/26/2026
Supplement Report FDA Received Date10/01/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/03/2025
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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