FDA Adverse Event
Malfunction
Summary report: N
ARGYLE
MDR report key: 25005507
·
Received April 27, 2026
Report
- Report Number
- 1423537-2026-00117
- Event Type
- Malfunction
- Date Received
- April 27, 2026
- Date of Event
- April 17, 2026
- Report Date
- April 27, 2026
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- FOZ
- UDI-DI
- 10192253040234
- PMA / PMN Number
- K132567
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL PRODUCT CODE: LJS. AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION THE RESULTS WILL BE FORWARDED.
Description of Event or Problem · 0
THE CUSTOMER REPORTED THE CARDINAL ARGYLE DOUBLE LUMEN PICC CRACKED IN THE NICU.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1055380 | ARGYLE | CATHETER,INTRAVASCULAR,THERAPEUTIC,SHORT-TERM LESS THAN 30 DAYS | FOZ | CARDINAL HEALTH 200, LLC | 43304 | 5290982 | 10192253040234 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |