FDA Adverse Event Injury Summary report: N

HYDROPHILIC COATED CURE CATHETER WITH INSERTION KIT

MDR report key: 8671867 · Received June 5, 2019

Report

Report Number
3005471919-2019-00041
Event Type
Injury
Date Received
June 5, 2019
Date of Event
May 17, 2019
Report Date
June 5, 2019
Manufacturer
CURE MEDICAL LLC
Product Code
OHR
PMA / PMN Number
ENFORCEMENT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

PATIENT REPORTED THE LOT NUMBER OF THE HM16 CATHETER INCLUDED INSIDE THE CATHETER CARE TRAY BUT DID NOT KNOW THE LOT NUMBER OF THE CATHETER CARE TRAY. THEREFORE THE UDI INFORMATION FOR THE CATHETER CARE TRAY (HM16UK) IS UNAVAILABLE. BASED ON THE LOT NUMBER REPORTED FOR THE CATHETER ITSELF THIS IS THE ASSOCIATED UDI INFORMATION: ITEM: HM16, LOT: 181223-3, EXPIRES: 11-28-2021, MANUFACTURE DATE: 12-23-2018, UDI: (B)(4)

Description of Event or Problem · 1

PATIENT (USER) CONTRACTED A URINARY TRACT INFECTION (UTI). NO PROBLEM WAS REPORTED WITH THE CATHETER OR KIT COMPONENTS. PATIENT SAID HE USES THE BZK WIPES TO CLEAN THE URETHRAL ENTRANCE AND HE MAY BE CONTAMINATING HIS GLOVES DURING THE PROCESS. HE IS LOOKING AT OTHER TECHNIQUES AND PRODUCTS ALONG WITH HIS DOCTOR TO AVOID THE POTENTIAL FOR CONTAMINATION. PATIENT ALSO HAS A VERY LARGE KIDNEY STONE WHICH COULD HAVE CAUSED HIS UTI. PATIENT WAS PRESCRIBED AN ANTIBIOTIC AND HAS RECOVERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
465810 HYDROPHILIC COATED CURE CATHETER WITH INSERTION KIT CATHETER CARE TRAY OHR CURE MEDICAL LLC HM16UK

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other