FDA Adverse Event
Injury
Summary report: N
CURE CATHETER FEMALE WITHOUT CONNECTOR
MDR report key: 12240547
·
Received July 28, 2021
Report
- Report Number
- 3005471919-2021-00057
- Event Type
- Injury
- Date Received
- July 28, 2021
- Date of Event
- June 24, 2021
- Report Date
- July 28, 2021
- Manufacturer
- INTEGRAL MEDICAL PRODUCTS CO., LTD.
- Product Code
- EZD
- PMA / PMN Number
- K072539
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
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 HAD ONE URINARY TRACT INFECTION (UTI) WITHIN THE LAST 12 MONTHS CONCURRENT WITH CATHETER USE OR SINCE HER SUPPLIER LAST SPOKE WITH HER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1137275 | CURE CATHETER FEMALE WITHOUT CONNECTOR | URINARY CATHETER | EZD | INTEGRAL MEDICAL PRODUCTS CO., LTD. | F14NC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |