FDA Adverse Event Injury Summary report: N

PROGREAT

MDR report key: 25115986 · Received May 7, 2026

Report

Report Number
9681834-2026-00099
Event Type
Injury
Date Received
May 7, 2026
Date of Event
April 15, 2026
Report Date
May 7, 2026
Manufacturer
TERUMO CORPORATION, ASHITAKA
Product Code
DQO
PMA / PMN Number
K033583
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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. G4: 510K: K033913. THE ACTUAL DEVICE WAS NOT AVAILABLE; THEREFORE, THE ACTUAL DEVICE WILL NOT BE 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 RECORD AND THE SHIPPING INSPECTION RECORD. A SIMILAR REPORT WAS FOUND IN THE PAST COMPLAINT FILE. 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: WHEN THE PRODUCT WAS USED, IT WAS FOUND URETHANE COATING OR HYDROPHILIC COATING OF THE GUIDEWIRE PEELED OFF. THE TIMING WHEN IT PEELED OFF WAS UNKNOWN. NO HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
192447 PROGREAT CATHETER, INTRAVASCULAR, DIAGNOSTIC DQO TERUMO CORPORATION, ASHITAKA MC-PP27131 250702

Patients

Seq Age Sex Outcome Treatment
1