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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW CVC SET: 2-LUMEN 7 FR X 20 CM; CATHETER INTRAVASCULAR THERAPE

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ARROW INTERNATIONAL LLC ARROW CVC SET: 2-LUMEN 7 FR X 20 CM; CATHETER INTRAVASCULAR THERAPE Back to Search Results
Catalog Number CS-27702-E
Medical Device Problem Code Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/16/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).
 
Event or Problem Description
It was reported that "(b)(6) 2026, the swg was found kinked during use on the patient".The user changed to a new set to resolve the issue.There was no patient harm or injury.No medical intervention required.The patient's current condition is reported as "fine".
 
Event or Problem Description
It was reported that "(b)(6) 2026, the swg was found kinked during use on the patient".The user changed to a new set to resolve the issue.There was no patient harm or injury.No medical intervention required.The patient's current condition is reported as "fine".
 
Additional Manufacturer Narrative
(b)(4).The customer-reported guidewire kink observed during use was confirmed through investigation of the returned sample.Visual inspection identified three kinks in the guidewire body.The distal j-bend was misshapen.Microscopic examination confirmed damage to the guidewire body, and both the distal and proximal welds were present and appeared full and spherical.The returned guide wire met all relevant dimensional requirements; however, resistance was encountered at one severe kinked location during functional evaluation, preventing further advancement of the guidewire beyond that point.No manufacturing-related defects or anomalies were identified during the investigation, and a device history record review did not identify any manufacturing-related issues.Upon follow-up with the customer for clarification, no additional information was provided regarding the guidewire kinking or any contributing factors.Based on the condition of the returned guidewire and the report that the damage was observed during use, unintentional use-related damage likely caused or contributed to the reported event.Teleflex will continue to monitor and trend complaints of this nature in accordance with established quality system procedures.
 
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Brand Name
ARROW CVC SET: 2-LUMEN 7 FR X 20 CM
Common Device Name
CATHETER INTRAVASCULAR THERAPE
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
marling heaton
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key24731313
Report Number3006425876-2026-00342
Device Sequence Number21394595
Product Code FOZ
UDI-Device Identifier10801902217551
UDI-Public(01)10801902217551(11)250324(17)270228(10)71F25C0494(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) 03/04/2026
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
Device Catalogue NumberCS-27702-E
Device Lot Number71F25C0494
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/24/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/04/2026
Supplement Date Received by Manufacturer04/10/2026
Initial Report FDA Received Date03/30/2026
Supplement Report FDA Received Date04/14/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/24/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
NOT REPORTED; NOT REPORTED
Patient SexUnknown
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