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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW EPIDURAL CATHETERIZATION SET; ANESTHESIA CONDUCTION CATHETER

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ARROW INTERNATIONAL LLC ARROW EPIDURAL CATHETERIZATION SET; ANESTHESIA CONDUCTION CATHETER Back to Search Results
Model Number IPN920760
Medical Device Problem Code Material Twisted/Bent (2981)
Health Effect - Clinical Codes Hematoma (1884); Pain (1994)
Date of Event 03/27/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).
 
Event or Problem Description
It was reported that "in the maternity ward, when inserting the epidural catheter, the anaesthesia intern noticed that the catheter was kinked but he continued the insertion.When attempting to insert the catheter between the vertebrae, it would not pass because the catheter would not advance.The consequence was discomfort and a long procedure and hematoma for the patient post the procedure.".
 
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Brand Name
ARROW EPIDURAL CATHETERIZATION SET
Common Device Name
ANESTHESIA CONDUCTION CATHETER
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
kevin don bosco
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key24952001
Report Number3006425876-2026-00434
Device Sequence Number17453397
Product Code BSO
UDI-Device Identifier10801902197570
UDI-Public(01)10801902197570(11)260120(17)271231(10)71F26A0495(21)
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K140110
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) 03/27/2026
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 NumberIPN920760
Device Catalogue NumberJC-05400-B
Device Lot Number71F26A0495
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/15/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/27/2026
Supplement Date Received by Manufacturer05/01/2026
Initial Report FDA Received Date04/22/2026
Supplement Report FDA Received Date05/06/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/20/2026
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
Patient SexFemale
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