FDA Adverse Event Malfunction Summary report: N

GENTLECATH GLIDE

MDR report key: 18756724 · Received February 22, 2024

Report

Report Number
3005778470-2024-00709
Event Type
Malfunction
Date Received
February 22, 2024
Report Date
February 20, 2024
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

MDR 3005778470-2024-00709 DEVICE 2 OF 34. A2: SEX: MALE. 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

THIS COMPLAINT HAS BEEN EVALUATED AS A TYPE 2 CASE. NO PHOTOS OR SAMPLES WERE PROVIDED TO THIS COMPLAINT. A BATCH RECORD REVIEW WAS CONDUCTED. NO NONCONFORMITY HAD BEEN REGISTERED DURING THE PRODUCTION AND STERILIZATION PROCESS OF THE MENTIONED LOT. ONE SIMILAR COMPLAINT WAS RECEIVED ON LOT WITH THE SAME ISSUE. BASED ON INCREASED TREND OF RECEIVED COMPLAINTS WAS OPENED NEW CAPA#1832524 - INCREASED COMPLAINT TREND RELATED TO THE ISSUE PEELPACK PAPER TEARING UNEVENLY WHEN OPENING GENTLECATH GLIDE. CAPA OPENED 20/FEB/2024 AND IT IS IN INVESTIGATION STATE. 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 BACKING DID NOT PEEL AS IT SHOULD BUT TORE WHEN OPENED. 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
1416267 GENTLECATH GLIDE CATHETER, URETHRAL GBM 421910 3C04450

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown