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