FDA Adverse Event
Injury
Summary report: N
CURAPLEX
MDR report key: 23193551
·
Received October 1, 2025
Report
- Report Number
- 3003674698-2025-01094
- Event Type
- Injury
- Date Received
- October 1, 2025
- Date of Event
- August 29, 2025
- Report Date
- October 1, 2025
- Manufacturer
- MEDSOURCE LABS LLC
- Product Code
- FOZ
- PMA / PMN Number
- K150611
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE HUB BROKE OFF WHEN A PATIENT WAS BEING TREATED BY PARAMEDICS, THE HUB BROKE OFF ONCE THE NEEDLE WAS INSIDE THE PATIENT. IT WAS NOT ABLE TO BE PULLED OUT, THE PATIENT WILL NEED A PROCEDURE TO REMOVE THE CATHETER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1795643 | CURAPLEX | CURAPLEX IV CATHETER CURASLIDE 18G | FOZ | MEDSOURCE LABS LLC | 1612-84130 | 31262/0761 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Hospitalization| O| R |