FDA Adverse Event Malfunction Summary report: N

NAVARRE OPTI DRAIN

MDR report key: 23713165 · Received December 4, 2025

Report

Report Number
3006260740-2025-09265
Event Type
Malfunction
Date Received
December 4, 2025
Date of Event
November 11, 2025
Report Date
January 13, 2026
Manufacturer
C.R. BARD, INC. (BASD) -3006260740
Product Code
GBX
UDI-DI
00801741037030
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H11: MANUFACTURING REVIEW: A MANUFACTURING REVIEW WAS NOT REQUIRED AS THIS IS THE ONLY COMPLAINT REPORTED TO DATE FOR THIS PRODUCT AND LOT. INVESTIGATION SUMMARY: THE SAMPLE WAS NOT RETURNED FOR EVALUATION; THREE ELECTRONIC PHOTOS WERE PROVIDED AND REVIEWED. THE FIRST PHOTO SHOWS THE PARTIAL VIEW OF CATHETER WITHIN THE PLASTIC SEALED PACKAGING WITH ATTACHED LABEL AND ANOTHER SEALED DEVICE ALSO NOTED WERE ON THE FLOOR. LOT INFORMATION WAS VERIFIED WITH TW. ANOTHER DEVICE WAS NOTED TO BE BLUR. THREAD BREAK CANNOT BE VERIFIED DUE TO PARTIAL VISIBLE OF TIP AND HOLES OF THE CATHETER. THE SECOND PHOTO SHOWS THE PARTIAL VIEW OF CATHETER WITHIN THE PLASTIC SEALED PACKAGING WITH ATTACHED LABEL. THREAD WAS NOT NOTED WITHIN THE CATHETER PIG TAIL AND GOT SEPARATED. BREAK WAS SEPARATION WERE NOTED. THE THIRD PHOTO SHOWS THE PARTIAL VIEW OF SECONDARY PACKAGING BOX WITH ATTACHED LABEL. LOT AND PRODUCT INFORMATION WERE MATCH WITH TW. THEREFORE, THE INVESTIGATION IS CONFIRMED FOR THE REPORTED THREAD DIGRESSION ISSUE FOR ONE DEVICE. HOWEVER, THE INVESTIGATION IS INCONCLUSIVE FOR THE REPORTED THREAD DIGRESSION ISSUE FOR ANOTHER TWO DEVICES AS PROVIDED PHOTO ARE NOT SUFFICIENT AND BREAK AND SEPARATION DOES NOT CLEAR ENOUGH TO CONFIRM THE ISSUE. THE DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED BASED UPON AVAILABLE INFORMATION. LABELING REVIEW: AS THE REPORTED EVENT DID NOT ALLEGE A LABELING OR USE RELATED ISSUE, A LABELING REVIEW IS NOT REQUIRED. G3, H6 (METHOD, RESULT, CONCLUSION) SECTION A THROUGH F ¿ THE INFORMATION PROVIDED BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT/REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.

Additional Manufacturer Narrative · 0

H11: AS THE LOT NUMBER FOR THE DEVICE WAS PROVIDED, A REVIEW OF THE DEVICE HISTORY RECORDS IS CURRENTLY BEING PERFORMED. THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. HOWEVER, PHOTOS WERE PROVIDED FOR REVIEW. THE INVESTIGATION OF THE REPORTED EVENT IS CURRENTLY UNDERWAY. SECTION A THROUGH F ¿ THE INFORMATION PROVIDED BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT/REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.

Description of Event or Problem · 0

ON (B)(6) 2025, A PATIENT UNDERWENT AN ULTRASOUND GUIDED PERCUTANEOUS DRAINAGE CATHETER PLACEMENT PROCEDURE USING NAVARRE DRAINAGE CATHETER. POST THE PROCEDURE, THE SURE-LOKTM THREAD WAS ALLEGEDLY DIGRESSIONED. THE PROCEDURE WAS COMPLETED USING ANOTHER DEVICE. THERE WAS NO REPORTED PATIENT INJURY.

Description of Event or Problem · 0

ON (B)(6) 2025, A PATIENT UNDERWENT AN ULTRASOUND GUIDED PERCUTANEOUS DRAINAGE CATHETER PLACEMENT PROCEDURE USING NAVARRE DRAINAGE CATHETER. POST THE PROCEDURE, THE SURE-LOKTM THREAD WAS ALLEGEDLY DIGRESSIONED. THE PROCEDURE WAS COMPLETED USING ANOTHER DEVICE. THERE WAS NO REPORTED PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2834636 NAVARRE OPTI DRAIN CHRONIC CATHETERS GBX C.R. BARD, INC. (BASD) -3006260740 GFKN0714 00801741037030

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown