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