FDA Adverse Event
Injury
Summary report: N
CURE MALE ULTRA
MDR report key: 7687469
·
Received July 13, 2018
Report
- Report Number
- 3005471919-2018-00020
- Event Type
- Injury
- Date Received
- July 13, 2018
- Date of Event
- June 1, 2018
- Report Date
- October 2, 2020
- Manufacturer
- CURE MEDICAL LLC
- Product Code
- KOD
- PMA / PMN Number
- K080881
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE PATIENT ALSO PROVIDED ANOTHER LOT NUMBER, 170819-1, BUT WAS UNABLE TO CONFIRM THE LOT NUMBER OF THE UNIT THAT CAUSED THE UTI AND IF IT WAS FROM THIS LOT.
Description of Event or Problem · 1
PATIENT (USER) EXPERIENCED A URINARY TRACT INFECTION (UTI) AFTER USING ULTRA M14 CATHETER. USER STATED THERE WAS NO PROBLEM WITH THE PRODUCT AND HE DID NOT EXPERIENCE ANY INJURIES. IT WAS JUST NOT A HYDROPHILIC PRODUCT WHICH HE REQUIRES BECAUSE IT IS MORE SLIPPERY AND CAUSES LESS FRICTION TO HIS URETHRA. HE HAS BEEN USING A HYDROPHILIC CATHETER FOR A LONG TIME AND HIS SUPPLIER SENT HIM ULTRA M14 TO TRY WITHOUT EXPLAINING IT IS NOT A HYDROPHILIC PRODUCT. HE WAS PRESCRIBED AN ANTIBIOTIC AND HAS FULLY RECOVERED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 527177 | CURE MALE ULTRA | URINARY CATHETER | KOD | CURE MEDICAL LLC | ULTRA M14 | 170828-5 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR | Other |