FDA Adverse Event
Malfunction
Summary report: N
ARGYLE
MDR report key: 24808843
·
Received April 7, 2026
Report
- Report Number
- 1423537-2026-00097
- Event Type
- Malfunction
- Date Received
- April 7, 2026
- Date of Event
- March 3, 2026
- Report Date
- May 14, 2026
- Manufacturer
- CARDINAL HEALTH, INC.
- Product Code
- LJS
- UDI-DI
- 10884527004652
- PMA / PMN Number
- K132567
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE HISTORY RECORD (DHR) REVIEW COULD NOT BE PERFORMED SINCE NO LOT NUMBER WAS PROVIDED. A PICTURE WAS RECEIVED FOR EVALUATION. UPON REVIEW, THE REPORTED ISSUE WAS NOT OBSERVED. THERE WERE NO SAMPLES RETURNED FOR EVALUATION; THEREFORE, THE AFFECTED DEVICE COULD NOT BE EVALUATED TO DETERMINE THE ROOT CAUSE. WE WILL CONTINUE TO MONITOR REPORTS AND TAKE ACTIONS AS APPLICABLE.
Additional Manufacturer Narrative · 0
SECTION D2A PRODUCT CODE(ADDITIONAL CODE): FOZ. AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.
Description of Event or Problem · 0
THE CUSTOMER REPORTED THAT DURING STERILE DRESSING CHANGE THE LINE WAS OBSERVED TO BE CRACKED AT CONNECTION OF CATHETER AND HUB. THERE WAS NO HARM REPORTED. PER CUSTOMER, THE PATIENT REQUIRED INSERTION OF ANOTHER BRAND OF PICC LINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 537057 | ARGYLE | CATHETER,INTRAVASCULAR,THERAPEUTIC,LONG-TERM GREATER THAN 30 DAYS | LJS | CARDINAL HEALTH, INC. | 43304 | 10884527004652 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |