FDA Adverse Event
Malfunction
Summary report: N
ARROW CANNON II PLUS REPLACEMENT HUB SET
MDR report key: 25068743
·
Received May 4, 2026
Report
- Report Number
- 9680794-2026-00329
- Event Type
- Malfunction
- Date Received
- May 4, 2026
- Date of Event
- April 2, 2026
- Report Date
- April 8, 2026
- Manufacturer
- ARROW INTERNATIONAL LLC
- Product Code
- NFK
- UDI-DI
- 20801902195238
- PMA / PMN Number
- K020430
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
(B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT "ON (B)(6) 2026, THE EXTENSION LINE WAS FOUND LEAKING DURING USED ON THE PATIENT." THERE WERE NO REPORTS OF PATIENT INJURY, HARM, OR ADVERSE HEALTH CONSEQUENCES ASSOCIATED WITH THE EVENT. THE PATIENT'S CONDITION WAS REPORTED AS FINE. NO MEDICAL INTERVENTION WAS NECESSARY, AND THE PROCEDURE WAS COMPLETED AFTER SWITCHING TO AN ANOTHER DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 54089 | ARROW CANNON II PLUS REPLACEMENT HUB SET | KIT, REPAIR, CATHETER, HEMODI | NFK | ARROW INTERNATIONAL LLC | 33F24H0046 | 20801902195238 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |