FDA Adverse Event
Injury
Summary report: N
CURE CATHETER
MDR report key: 10399635
·
Received August 12, 2020
Report
- Report Number
- 3005471919-2020-00087
- Event Type
- Injury
- Date Received
- August 12, 2020
- Date of Event
- May 25, 2020
- Report Date
- August 12, 2020
- Manufacturer
- CURE MEDICAL LLC
- Product Code
- EZD
- UDI-DI
- 008159947020048
- PMA / PMN Number
- K072539
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
DURING FOLLOW-UP, THE PATIENT SAID HE DID NOT NOTICE ANY DEFECT OR MALFUNCTION WITH THE CATHETERS. THE PATIENT ALSO PROVIDED ANOTHER LOT NUMBER, 191223-1, BUT WAS UNABLE TO CONFIRM THE LOT NUMBER OF THE UNIT THAT CAUSED THE UTI AND IF IT WAS FROM THIS LOT. HE EXPERIENCED NO ROUGH EYELETS, BLEEDING, OR TRAUMA.
Description of Event or Problem · 1
INTERMITTENT CATHETER PATIENT (USER) REPORTED HE EXPERIENCED A URINARY TRACT INFECTION (UTI) CONCURRENT WITH CATHETER USE. THE PATIENT WAS PRESCRIBED AN ANTIBIOTIC FOR 3 DAYS, BUT THE INFECTION WAS NOT RESOLVED, AND WAS PRESCRIBED ANOTHER ANTIBIOTIC FOR 15 DAYS THAT HE TOOK, AND RECOVERED COMPLETELY FROM THE UTI.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 861281 | CURE CATHETER | URINARY CATHETER | EZD | CURE MEDICAL LLC | M14 | 191120-2 | 008159947020048 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 78 YR | Other |