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