FDA Adverse Event Malfunction Summary report: N

PROGREAT

MDR report key: 24839906 · Received April 10, 2026

Report

Report Number
9681834-2026-00070
Event Type
Malfunction
Date Received
April 10, 2026
Date of Event
March 20, 2026
Report Date
April 10, 2026
Manufacturer
TERUMO CORPORATION, ASHITAKA
Product Code
DQO
PMA / PMN Number
K033583
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2A: CATHETER, CONTINUOUS FLUSH. D2B: KRA. D4: UDI: N/A AS THIS PRODUCT CODE IS NOT EXPORTED TO THE US MARKET. D6A: IMPLANTED DATE: DEVICE WAS NOT IMPLANTED . D6B: EXPLANTED DATE: DEVICE WAS NOT EXPLANTED . E1: INITIAL REPORTER NAME: UNKNOWN. E1: PHONE NUMBER: UNKNOWN. G4: 510K: K033913. THE ACTUAL DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. THE INVESTIGATION IS CURRENTLY ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE. NO ANOMALY WAS FOUND IN THE MANUFACTURING RECORDS AND THE SHIPPING INSPECTION RECORDS. NO OTHER SIMILAR REPORTS WERE FOUND IN THE PAST COMPLAINT FILES. TERUMO MEDICAL CORPORATION (TMC) (IMPORTER) REGISTRATION NO. 2243441 IS SUBMITTING THIS REPORT ON BEHALF OF ASHITAKA FACTORY OF TERUMO CORPORATION (MANUFACTURER) REGISTRATION NO. 9681834.

Description of Event or Problem · 0

TERUMO RECEIVED THE FOLLOWING REPORTED INFORMATION: UPON OPENING THE PACKAGE FOR USE, THE OPERATOR NOTICED THAT THE OUTER LAYER OF THE GUIDEWIRE HAD PEELED OFF. THE EVENT OCCURRED PRE-TREATMENT; THEREFORE, NO PATIENT WAS INVOLVED OR HARMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
537383 PROGREAT CATHETER, INTRAVASCULAR, DIAGNOSTIC DQO TERUMO CORPORATION, ASHITAKA MC-PE27131 250522

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown