FDA Adverse Event
Malfunction
Summary report: N
ARROW ARROWG+ARD BLUE PLUS
MDR report key: 23509651
·
Received November 10, 2025
Report
- Report Number
- 23509651
- Event Type
- Malfunction
- Date Received
- November 10, 2025
- Date of Event
- May 2, 2025
- Report Date
- September 16, 2025
- Manufacturer
- TELEFLEX MEDICAL LLC
- Product Code
- FOZ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IV THERAPIST ASSESSED A MALFUNCTIONING RIGHT DOUBLE LUMEN IJ [INTERNAL JUGULAR] PLACED ON THE PREVIOUS DAY. UPON FLUSH ASSESSMENT, BROWN LUMEN HAS EXTERNAL RUPTURE. NO PRODUCT NUMBER CHARTED THAT I COULD LOCATE BUT THE DEVICE IS AN ARROWG+ARD BLUE PLUS CDC-45802-XP1A.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2525387 | ARROW ARROWG+ARD BLUE PLUS | CATHETER,INTRAVASCULAR,THERAPEUTIC,SHORT-TERM LESS THAN 30 DAYS | FOZ | TELEFLEX MEDICAL LLC | CDC-45802-XP1A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 37 YR | Unknown |