FDA Adverse Event Malfunction Summary report: N

GENTLECATH GLIDE

MDR report key: 18567024 · Received January 23, 2024

Report

Report Number
3005778470-2024-00275
Event Type
Malfunction
Date Received
January 23, 2024
Report Date
January 22, 2024
Manufacturer
UNOMEDICAL S.R.O.
Product Code
GBM
PMA / PMN Number
K181206
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

A2: SEX: FEMALE. BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED TO BE A REPORTABLE MALFUNCTION. TO DATE NO ADDITIONAL INFORMATION HAS BEEN RECEIVED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. FDA REGISTRATION NUMBER REPORTING SITE: 1049092 MANUFACTURING SITE: 3005778470.

Additional Manufacturer Narrative · 0

REVIEW OF THE DHR SHOWED THAT ALL RELEVANT TESTS REQUIRED DURING THE MANUFACTURING AND PACKAGING PROCESS AND FINAL PRODUCT RELEASE HAD BEEN FULFILLED AND MET THE REQUIREMENTS. NO NONCONFORMITY HAD BEEN REGISTERED DURING THE PRODUCTION AND STERILIZATION PROCESS OF THE MENTIONED LOT. SIMILAR COMPLAINTS WERE RECEIVED ON THE LOT IN QUESTION. COMPLAINT WAS SUBMITTED TO COMPLAINT REVIEW BOARD. THE INCREASED TREND OF COMPLAINTS, RELATED TO THE POUCH PAPER TEARS UNEVENLY DURING OPENING, WAS OBSERVED. THEREFORE, CAPA 1832524 HAS BEEN RAISED TO ADDRESS THE ISSUE. THIS ISSUE WILL BE MONITORED THROUGH THE POST MARKET PRODUCT MONITORING REVIEW PROCESS, SOP-000741. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. FDA REGISTRATION NUMBER REPORTING SITE: 1049092 . MANUFACTURING SITE: 3005778470.

Description of Event or Problem · 0

END USER REPORTS PAPER TEARING UNEVENLY WHEN OPENING. THERE WAS NO HARM REPORTED.

Description of Event or Problem · 0

TO DATE NO ADDITIONAL PATIENT OR EVENT DETAILS HAVE BEEN RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
826280 GENTLECATH GLIDE CATHETER, URETHRAL GBM UNOMEDICAL S.R.O. 421910 3C01306

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown