CODMAN BEVD 1.9MM CAT SET
Report
- Report Number
- 3013886523-2026-00043
- Event Type
- Injury
- Date Received
- February 27, 2026
- Date of Event
- February 10, 2026
- Report Date
- April 3, 2026
- Manufacturer
- INTEGRA LIFESCIENCES MANSFIELD
- Product Code
- JXG
- UDI-DI
- 10381780518440
- PMA / PMN Number
- K233448
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
UPDATED FIELDS: D4, D9, G3, G6, H2, H3, H4, H6, H11. BACTISEAL CATHETER (ID 821749) WAS NOT RETURNED FOR EVALUATION (NOT AVAILABLE FOR RETURN AS PER CUSTOMER); THEREFORE, AN EVALUATION OF THE DEVICE COULD NOT BE PERFORMED. LOT NUMBER INFORMATION HAS BEEN PROVIDED; THEREFORE, DEVICE HISTORY RECORDS (DHR) WAS REVIEWED, AND NO ANOMALIES WERE FOUND. THE ROOT CAUSE(S) OF THE REPORTED ISSUE COULD NOT BE DETERMINED, HOWEVER, A POSSIBLE ROOT CAUSE FOR THE ISSUE REPORTED BY THE CUSTOMER, COULD BE DUE TO A SHARP OR POINTED OBJECT COMING INTO CONTACT WITH THE CATHETER, AS NOTED IN THE IFU SILICONE HAS A LOW CUT/TEAR RESISTANCE. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE IN THE FUTURE, THIS COMPLAINT WILL BE REOPENED, AND THE RESPECTIVE EVALUATION PERFORMED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR ISSUES. AT PRESENT, WE CONSIDER THIS COMPLAINT TO BE CLOSED.
AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.
A FACILITY REPORTED A BACTISEAL CATHETER (ID 821749) WAS IMPLANTED ON (B)(6) 2026. ON (B)(6) 2026, A LEAKAGE WAS OBSERVED AT THE CATHETER INTERFACE, AND IT WAS REMOVED, NOT REPLACED. THE PATIENT'S CONDITION REMAINED STABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 475898 | CODMAN BEVD 1.9MM CAT SET | BACTISEAL | JXG | INTEGRA LIFESCIENCES MANSFIELD | 7565442 | 10381780518440 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |