FDA Adverse Event
Injury
Summary report: N
CURE CATHETER WITH INSERTION KIT
MDR report key: 11289327
·
Received February 5, 2021
Report
- Report Number
- 3005471919-2021-00017
- Event Type
- Injury
- Date Received
- February 5, 2021
- Date of Event
- January 7, 2021
- Report Date
- February 12, 2021
- Manufacturer
- CURE MEDICAL LLC
- Product Code
- OHR
- PMA / PMN Number
- K072539
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE K2 INSERTION KIT (GLOVES, BZK WIPE, COLLECTION BAG, UNDERPAD, LUBRICATING JELLY) WAS ALSO IN USE BUT THE M14 CATHETER IS THE MOST RELEVANT SUSPECT DEVICE.
Additional Manufacturer Narrative · 0
THE M14 CATHETER IS MOST RELEVANT TO THE DEVICE PROBLEM.
Additional Manufacturer Narrative · 1
LIMITED INFORMATION ABOUT THE EVENT WAS AVAILABLE. ATTEMPTS TO FOLLOW UP WITH THE PATIENT (USER) AND GAIN ADDITIONAL INFORMATION DID NOT RECEIVE A RESPONSE.
Description of Event or Problem · 1
INTERMITTENT CATHETER PATIENT (USER) SAID SHE IS CURRENTLY BEING TREATED FOR A URINARY TRACT INFECTION (UTI) CONCURRENT WITH CATHETER AND INSERTION KIT (GLOVES, BZK WIPE, COLLECTION BAG, LUBRICATING JELLY) USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 185445 | CURE CATHETER WITH INSERTION KIT | CATHETER CARE TRAY | OHR | CURE MEDICAL LLC | M14 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |