FDA Adverse Event Injury Summary report: N

CURE PRODUCTS

MDR report key: 20571282 · Received October 30, 2024

Report

Report Number
1049092-2024-00130
Event Type
Injury
Date Received
October 30, 2024
Report Date
October 18, 2024
Manufacturer
CONVATEC
Product Code
EZD
UDI-DI
00815947020345
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION FINDINGS 1. RAISED BUMPS ON HNC CATHETER: ANALYSIS & INSPECTION: 13 RETAINED SAMPLES WERE TESTED; NO SIMILAR DEFECTS FOUND. POSSIBLE CAUSES: SPECULATED TO BE EXTRUSION DEFECTS OR BENDING DURING TRANSPORTATION. MANUFACTURING PROCESS REVIEW: EQUIPMENT WAS FUNCTIONING CORRECTLY, MATERIAL WAS WITHIN SPECIFICATIONS, AND QUALITY CHECKS WERE CONDUCTED REGULARLY. CONCLUSION: NO DEFINITIVE ROOT CAUSE DETERMINED DUE TO LACK OF PHYSICAL SAMPLES OR IMAGES FROM THE USER. 2. BURNING SENSATION FROM ULTRA CATHETER: POSSIBLE CAUSES: INADEQUATE GEL APPLICATION, LEADING TO INSUFFICIENT LUBRICATION. PRE-EXISTING URETHRAL MUCOSAL DAMAGE, WHICH COULD BE EXACERBATED. PRODUCTION REVIEW: GEL FILLING MACHINE WAS WITHIN SPECIFICATION, AND NO ANOMALIES WERE DETECTED. CONCLUSION: SINCE BATCH DETAILS WERE UNAVAILABLE, THE INVESTIGATION COULD NOT DETERMINE THE ROOT CAUSE. THIS INVESTIGATION WILL BE CLOSED. 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: 3005471919.

Additional Manufacturer Narrative · 0

BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED TO BE A SERIOUS INJURY. 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: 3005471919.

Description of Event or Problem · 0

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

Description of Event or Problem · 0

END USER REPORTED HE HAD 2 RECENT UTIS. HE HAD HIS FIRST UTI IN EARLY SEPTEMBER WHICH HE SAID HE HAD FREQUENCY, URGENCY, BLEEDING NOTED IN HIS URINE AND HIS PROSTATE WAS SWOLLEN. HE SAW HIS MD AND HAD URINE TESTING. THE BACTERIA AEROCOCCUS WAS FOUND IN HIS URINE AND HE WAS PRESCRIBED NITROFURANTOIN WHICH RESOLVED HIS SYMPTOMS. HIS MD SAID THIS BACTERIA IS RARE BUT OFTEN FOUND IN HOSPITALS BUT HIS ONLY PRIOR INTERVENTION WAS IN JUNE WITH THE UROLIFT BUT IT WAS POSSIBILITY FROM THAT. THEN 2.5 - 3 WEEKS LATER HE HAD URGENCY FREQUENCY AGAIN AND THAT TIME WAS GETTING HIS URINE CHECKED FOR A PHYSICAL AND THE BACTERIA THAT GREW OUT WAS ENTEROCOCCUS. IT WAS DEEMED HIS SECOND UTI; HE WAS PRESCRIBED AMOXICILLIN AND FINISHED THAT COURSE LAST SAT AND IS FEELING BETTER. HIS MD MENTIONED THAT SOMETIMES ENTEROCOCCUS CAN GROW WHEN AN AEROCOCCUS INFECTION WAS RECENTLY TREATED. THERE WAS NO ADDITIONAL INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2034642 CURE PRODUCTS CATHETER, STRAIGHT EZD CONVATEC HM14C 23B18201 00815947020345

Patients

Seq Age Sex Outcome Treatment
1 NA Male Required Intervention