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MedSource ClearSafe Comfort IV Catheter(PUR) 20g x 1 MS-842202Recalls & reported problems

Medsource International LLC · ClearSafe Comfort IV Catheter(PUR) 20g x 1 · Class 2

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
2
Deaths reported
0
Injuries reported
2
Recalls naming it
0

Summary

The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 00816703020630), received between Jun 4, 2024 and Jun 24, 2024 — classified as 2 injuries.

The most frequently reported specific device problem is “Material Separation” (2 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 2 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Material Separation2

Patient problems

  • Foreign Body In Patient2

Recent adverse event reports

The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.

  • InjuryJun 24, 2024Material Separation; Material Separation

    THE CUSTOMER ADVISED THAT A 37 YEAR OLD MALE PATIENT, WAS AT THE CLINIC TO RECEIVE VITAMIN THERAPY VIA IV. IT WAS ADVISED THAT AS THE CLINICAL STAFF WAS INSERTING THE CATHETER, IT BROKE OFF IN THE PATIENTS ARM. THE PATIENT WAS SENT TO THE EMERGENCY ROOM WHEN THE BREAKAGE OCCURRED ON (B)(6). THE OFFICE WAS ADVISED BY THE PATIENT THAT THE EMERGENCY ROOM WAS UNABLE TO REMOVED THE CATHETER AND WAS ADVISED TO WAIT A FEW DAYS FOR THE WOUND TO SETTLE BEFORE FOLLOWING UP WITH A PRIVATE SURGEON. THE PATIENT FOLLOWED UP WITH A PRIVATE SURGEON ON (B)(6) AND WAS AT THE SURGEONS' CLINIC FROM 9AM UNTIL 12PM, IN THE BED WITH THE SURGEON ATTEMPTING TO REMOVE THE BROKEN CATHETER. ULTIMATELY THE SURGEON ADVISED THAT THE CATHETER HAD SETTLED IN THE PATIENTS MUSCLE AND THEY ARE UNABLE TO SAFELY REMOVE IT AND IT WAS RECOMMENDED TO LEAVE IT ALONE.

    Patient problems: Foreign Body In Patient

    MAUDE report 19600252 ↗
  • InjuryJun 4, 2024Material Separation; Material Separation

    THERE WAS A REPORTED INCIDENT WHERE THE CATHETER BECAME DISCONNECTED FROM THE HUB. THE PATIENT WAS SENT TO THE ER TO HAVE THE BROKEN CATHETER SURGICALLY REMOVED.

    Patient problems: Foreign Body In Patient

    MAUDE report 19460715 ↗

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Sources and updates

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