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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDOS INTERNATIONAL SARL CEREBASE; CATHETER, PERCUTANEOUS

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MEDOS INTERNATIONAL SARL CEREBASE; CATHETER, PERCUTANEOUS Back to Search Results
Catalog Number GS9080SD
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Manufacturer ref# (b)(4).Section b3 ¿ date of event: the date of the event was not reported.Section h3 - the device is available to be returned for evaluation and testing.However, it has not been received to date.If the device returns, a device investigation will be performed.Missing information from this report is identified as blank; this information was not provided in the reported event or available at the time of report submission.The company is seeking this information through the event investigation.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by cerenovus, or its employees that the report constitutes an admission that the product, cerenovus, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
 
Event or Problem Description
A healthcare professional reported that during the prepping and flushing of a cerebase catheter (product code: gs9080sd, lot number: 31580142) the distal tip was found to be distorted with a strut visible.There was no patient injury reported.There were no procedural delays due to the event.Additional event information received on 17-apr-2026 indicated that there was no damage to the packaging.There was no difficulty in removing device from packaging.The device will be returned in its original packaging.There was no break in material integrity at the site of the defect, such as cracking or fracture.
 
Additional Manufacturer Narrative
Manufacturer ref# (b)(4).Updated sections on this medwatch: b4, d9, g3, g6, h2, h3 and h11.The product has been returned for evaluation and testing; however, the engineering evaluation has not been completed.A supplemental report will be submitted if new facts arise which materially alter information submitted in a previous mdr report.
 
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Brand Name
CEREBASE
Common Device Name
CATHETER, PERCUTANEOUS
Manufacturer (Section D)
MEDOS INTERNATIONAL SARL
chemin-blanc 38
le locle neuchatel CH-24 00
SZ  CH-2400
Manufacturer (Section G)
CERENOVUS INC. (JUAREZ)
circuito interior norte #1820
parque industrial salvarcar
juarez chihuahua 32574
MX   32574
Manufacturer Contact
henry boden
31 technology dr
irvine, CA 92618
9497882078
MDR Report Key24927323
Report Number3008114965-2026-00571
Device Sequence Number10671515
Product Code QJP
UDI-Device Identifier10886704082316
UDI-Public(01)10886704082316(17)270531(10)31580142
Combination Product (Y/N)N
Initial Reporter CountryIN
PMA/510(K) Number
K192806
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 05/12/2026
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 NumberGS9080SD
Device Lot Number31580142
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 04/02/2026
Supplement Date Received by Manufacturer04/28/2026
04/29/2026
Initial Report FDA Received Date04/20/2026
Supplement Report FDA Received Date04/28/2026
05/12/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/09/2025
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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