| Brand Name | PLEURX PLEURAL CATHETER MINI KIT |
| Common Device Name | apparatus, suction, patient care |
| Manufacturer (Section D) |
| CareFusion, Inc |
| 75 n. fairview drive |
| vernon hills IL 60061 |
|
| Manufacturer (Section G) |
| CareFusion, Inc |
| 400 east foster rd |
|
| mannford OK 74044 |
|
| Manufacturer Contact |
|
michael
gaffney
|
| 75 n. fairview drive |
| vernon hills, IL 60061
|
|
+1(801)565-2341
|
|
| MDR Report Key | 50354323 |
| Report Number | 1423507-2026-00129 |
| Device Sequence Number | 20369825 |
| Product Code |
DWM
|
| UDI-Device Identifier | 10885403075988 |
| UDI-Public | (01)10885403075988 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K160450 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/07/2026 |
| 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 |
Lay User/Patient
|
| Device Catalogue Number | 50-7050 |
| Device Lot Number | Unknown |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 08/20/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|