inforMED
InjuryFOZ

I-PORT ADVANCE

Received Jul 15, 2026 · Event occurred Jun 11, 2026

Report 3003442380-2026-50815 · MDR key 25826671

Device

Generic name

Catheter,intravascular,therapeutic,short-term Less Than 30 Days

Model number

MMT-100T

Lot number

6004820

Product problems

  • Complete Blockage
  • Material Twisted/Bent

Patient

NA · Unknown

  • Hyperglycemia

Narrative

Description of Event or Problem

IT WAS REPORTED THAT PATIENT EXPERIENCED HYPERGLYCEMIA ISSUES EVENT ON (B)(6) 2026 BECAUSE CANNULA WAS FOUND BEND AND INTERRUPTED THERAPY THAT WAS TREATED BY INSULIN.

Additional Manufacturer Narrative

PATIENT COUNTRY: BRAZIL. NAME: (B)(6). STREET: (B)(6). CITY; (B)(6). STATE: (B)(6). ZIP CODE: (B)(6). COUNTRY: UNITED STATES. BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED TO BE A SERIOUS INJURY. A COMPLAINT INVESTIGATION WAS INITIATED UNDER COMPLAINT INVESTIGATION. INVESTIGATION IN PROGRESS. TO DATE NO ADDITIONAL INFORMATION HAS BEEN RECEIVED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. FDA REGISTRATION NUMBER REPORTING SITE: 8021545. MANUFACTURING SITE: 3003442380.