| Brand Name | ARROW PI PICC NaviCurve: 1L 4FR x 55CM w CHG |
| Common Device Name | CATHETER INTRAVASCULAR THERAPE |
| 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 |
|
angela
meister
|
| 3015 carrington mill blvd |
| morrisville 27560
|
|
| MDR Report Key | 50812384 |
| Report Number | 9680794-2026-00681 |
| Device Sequence Number | 8653288 |
| Product Code |
OWL
|
| UDI-Device Identifier | 10801902216684 |
| UDI-Public | (01)10801902216684(11)260324(17)270626(10)33F26B0192 |
| Combination Product (Y/N) | N |
| Initial Reporter State | AR |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Nurse
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/20/2026 |
| 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
|
| Device Catalogue Number | DLX-35541-CURVC |
| Device Lot Number | 33F26B0192 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/28/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/20/2026 |
| Initial Report FDA Received Date | 09/17/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 03/24/2026 |
| 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 Number | 1 |
| Patient Sex | Unknown |