FDA Adverse Event
Malfunction
Summary report: N
ARROW HEMODIALYSIS SET: 2-LUMEN 12 FR X 20 CM
MDR report key: 24977025
·
Received April 24, 2026
Report
- Report Number
- 3006425876-2026-00459
- Event Type
- Malfunction
- Date Received
- April 24, 2026
- Date of Event
- March 31, 2026
- Report Date
- March 31, 2026
- Manufacturer
- ARROW INTERNATIONAL LLC
- Product Code
- PPO
- UDI-DI
- 10801902190366
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TW
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
(B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT "SWG UNRAVELED. THE PATIENT WAS REPORTED AS FINE."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 489140 | ARROW HEMODIALYSIS SET: 2-LUMEN 12 FR X 20 CM | CATHETER SUBCLAVIAN | PPO | ARROW INTERNATIONAL LLC | 71F24H1398 | 10801902190366 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |