| Brand Name | Navarre Universal Drain |
| Common Device Name | Chronic Catheters |
| Manufacturer (Section D) |
| C.R. Bard, Inc. (BASD) -3006260740 |
| 605 north 5600 west |
| salt lake city 84116 |
|
| Manufacturer (Section G) |
| C.R. Bard, Inc. (GFO) |
| 289 bay road |
|
| queensbury 12804 |
|
| Manufacturer Contact |
|
michael
gaffney
|
| 800 w. rio salado pkwy |
| tempe, AZ 85281
|
|
+1(480)303-2689
|
|
| MDR Report Key | 50650588 |
| Report Number | 3006260740-2026-06494 |
| Device Sequence Number | 18619683 |
| Product Code |
GBX
|
| UDI-Device Identifier | 00801741037009 |
| UDI-Public | (01)00801741037009(11)251204(17)281128(10)GFKV0345 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K951475 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/17/2026 |
| 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 Number | NNU8LPT |
| Device Lot Number | GFKV0345 |
| 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 | 08/13/2026 |
| Supplement Date Received by Manufacturer | 09/17/2026
|
| Initial Report FDA Received Date | 09/07/2026 |
| Supplement Report FDA Received Date | 09/21/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 12/04/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|