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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW HEMODIALYSIS SET: 2-L 15 FR X 23 CM RETR; CATHETER, HEMODIALYSIS, IMPLA

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ARROW INTERNATIONAL LLC ARROW HEMODIALYSIS SET: 2-L 15 FR X 23 CM RETR; CATHETER, HEMODIALYSIS, IMPLA Back to Search Results
Catalog Number CS-15232-VFE
Medical Device Problem Code Fluid/Blood Leak (1250)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/23/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).
 
Event or Problem Description
It was reported that "after inserting the catheter, the physician noticed that air was being drawn into the connector during aspiration.The leak could not be pinpointed.The problem was resolved by opening another set and using the connector contained therein." there were no reports of patient injury, harm, or adverse health consequences associated with this event.No additional medical intervention was reported beyond removal of the affected device, and the procedure was completed successfully following replacement with another device.
 
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Brand Name
ARROW HEMODIALYSIS SET: 2-L 15 FR X 23 CM RETR
Common Device Name
CATHETER, HEMODIALYSIS, IMPLA
Manufacturer (Section D)
ARROW INTERNATIONAL LLC
morrisville NC
Manufacturer (Section G)
ARROW INTERNATIONAL DE MEXICO S.A. DE C.V.
ave. washington 3701
colonia panamericana, chihuahua
chihuahua 31200
MX   31200
Manufacturer Contact
katharine tarpley
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key25272054
Report Number9680794-2026-00402
Device Sequence Number9759095
Product Code PPO
UDI-Device Identifier10801902154177
UDI-Public(01)10801902154177(11)250829(17)280731(10)33F25F0298(21)
Combination Product (Y/N)N
Initial Reporter CountryGM
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 04/28/2026
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 NumberCS-15232-VFE
Device Lot Number33F25F0298
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/28/2026
Supplement Date Received by Manufacturer07/06/2026
Initial Report FDA Received Date05/25/2026
Supplement Report FDA Received Date07/14/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/29/2025
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.
Patient SexUnknown
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