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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 MALE EXTERNAL CATHETER

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C.R. BARD, INC. (COVINGTON) -1018233 MALE EXTERNAL CATHETER Back to Search Results
Device Problem Biocompatibility (2886)
Patient Problems Pain (1994); Injury (2348); Skin Tears (2516); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 01/27/2021
Event Type  malfunction  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.The device was not returned.
 
Event Description
It was reported that there was an issue with the surestep male external catheter starter kit meter.Per follow up received via mail on 29jan2021, the device created a skin tear on the penises of 2 different patients.The patient experienced pain as a result of skin tear, and also injury was noted after removal.No medical intervention was reported.
 
Manufacturer Narrative
Upon further review, bd has determined that this mdr was initially reported in error as this event is not reportable.H11:section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.H3 other text : the device was not returned.
 
Event Description
It was reported that there was an issue with the surestep male external catheter starter kit meter.Additional information required.Per follow up received via email on 29jan2021 the device created a skin tear on the penis of 2 different patients.The patient experienced pain as a result of skin tear and also injury was noted after removal.No medical intervention was reported.Per additional information received via email on 25feb2021 another patient had developed wounds from the bard male external catheter.The patient was noticed with open wounds on the dorsal and ventral aspects of the penis.No medical intervention reported.Also the surestep male external catheter (the actual catheter component) is the same as the spirit condom catheter did not change and contain additional or any different adhesives than before.
 
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Brand Name
MALE EXTERNAL CATHETER
Type of Device
MALE EXTERNAL CATHETER
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
MDR Report Key11343202
MDR Text Key232369861
Report Number1018233-2021-00611
Device Sequence Number1
Product Code NNX
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,other,use
Type of Report Initial,Followup
Report Date 03/19/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/18/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Date Manufacturer Received03/19/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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