FDA Adverse Event
Injury
Summary report: N
CURE MEDICAL
MDR report key: 6139205
·
Received December 1, 2016
Report
- Report Number
- 3005471919-2016-00008
- Event Type
- Injury
- Date Received
- December 1, 2016
- Date of Event
- November 1, 2016
- Report Date
- December 1, 2016
- Manufacturer
- CURE MEDICAL LLC
- Product Code
- OHR
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION SUMMARY: EVENT INFORMATION WAS REPORTED TO MANUFACTURER VIA A DISTRIBUTOR. DISTRIBUTER WOULD NOT PROVIDE USER'S CONTACT INFORMATION NOR PERFORM ADDITIONAL FOLLOW-UP ON MANUFACTURER'S BEHALF SO ADDITIONAL FOLLOW-UP COULD NOT BE INITIATED. MANUFACTURER IS UNABLE TO DIRECTLY CONFIRM DETAILS OF THE EVENT INCLUDING IF A DRY BZK WIPE WAS ACTUALLY OBSERVED BY THE USER OR OTHER POTENTIALLY IMPORTANT DETAILS. NO DEVICE WAS RETURNED, SO NO EVALUATION COULD BE PERFORMED ON THE ACTUAL DEVICE. THEREFORE THE MANUFACTURER IS UNABLE TO CONFIRM THE REPORTED PRODUCT PROBLEM OR IF IT MAY HAVE CAUSED OR CONTRIBUTED TO EVENT.
Description of Event or Problem · 1
USER EXPERIENCED UTI WHILE USING CATHETER INSERTION KIT. USER'S MOTHER ASKED IF A DRY BZK WIPE MAY CONTRIBUTE TO EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 789255 | CURE MEDICAL | URINARY CATHETER (INSERTION) TRAY | OHR | CURE MEDICAL LLC | K2 | 15B03802 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |