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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL INC. ARROW ARTERIAL CATH SET: 18 GA X 8CM; CATHETER, PERCUTANEOUS

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ARROW INTERNATIONAL INC. ARROW ARTERIAL CATH SET: 18 GA X 8CM; CATHETER, PERCUTANEOUS Back to Search Results
Catalog Number SAC-00818
Device Problem Complete Blockage (1094)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 11/20/2019
Event Type  malfunction  
Manufacturer Narrative
Qn#: (b)(4).
 
Event Description
It was reported that after 24 hours there was a blockage of the arterial catheter.
 
Manufacturer Narrative
(b)(4).Complaint verification testing could not be performed as no sample was returned for analysis.A device history record review was performed and no relevant findings were identified.Without the device to evaluate the complaint could not be confirmed and the probable cause could not be determined from the available information.Teleflex will continue to monitor and trend for reports of this nature.If the sample becomes available at a later date a follow up report will be submitted with investigation results.
 
Event Description
It was reported that after 24 hours there was a blockage of the arterial catheter.
 
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Brand Name
ARROW ARTERIAL CATH SET: 18 GA X 8CM
Type of Device
CATHETER, PERCUTANEOUS
Manufacturer (Section D)
ARROW INTERNATIONAL INC.
reading PA
MDR Report Key9580673
MDR Text Key180129977
Report Number3006425876-2020-00029
Device Sequence Number1
Product Code DQY
Combination Product (y/n)N
PMA/PMN Number
K093050
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 12/30/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/13/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue NumberSAC-00818
Device Lot Number71F19J1968
Was Device Available for Evaluation? Yes
Date Manufacturer Received01/30/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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