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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 BARDEX® LUBRICATH® FOLEY CATHETER COUDE TIP

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C.R. BARD, INC. (COVINGTON) -1018233 BARDEX® LUBRICATH® FOLEY CATHETER COUDE TIP Back to Search Results
Catalog Number 0168L14
Device Problem Inaccurate Flow Rate (1249)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/08/2023
Event Type  malfunction  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.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.
 
Event Description
It was reported that after inserting the foley catheter into the patient, they could not confirm the outflow of urine.So they removed it and reinserted a new catheter, which confirmed the outflow of urine.There was a possibility that there was no hole at the tip of the catheter.
 
Event Description
It was reported that after inserting the foley catheter into the patient, they could not confirm the outflow of urine.So they removed it and reinserted a new catheter, which confirmed the outflow of urine.There was a possibility that there was no hole at the tip of the catheter.
 
Manufacturer Narrative
The reported event was unconfirmed because the reported failure could not be reproduced.No root cause could be found because the reported event was unconfirmed.Visual evaluation of the returned sample noted one opened (with original packaging), used coude foley catheter.Visual inspection of the sample noted the catheter balloon was inflated with 10 ml methylene blue solution (3 drops 1% aq methylene blue per 100ml distilled water) and allowed to drain freely.Flushed the drainage funnel and no blockage observed.With the syringe attached the balloon passively deflated with no issues.No defects noted.The device history record review could not be performed without a lot number.As the reported event is unconfirmed a labeling review is not required.Correction- d h11: section a through f - the information provided by bd represents all 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 actual/suspected device was inspected.
 
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Brand Name
BARDEX® LUBRICATH® FOLEY CATHETER COUDE TIP
Type of Device
FOLEY CATHETER
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
Manufacturer (Section G)
C.R. BARD INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington 30014
7707846100
MDR Report Key18256851
MDR Text Key329610692
Report Number1018233-2023-08709
Device Sequence Number1
Product Code EZC
UDI-Device Identifier00801741017810
UDI-Public(01)00801741017810
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K910846
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 02/27/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number0168L14
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/15/2023
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/15/2023
Initial Date FDA Received12/04/2023
Supplement Dates Manufacturer Received02/27/2024
Supplement Dates FDA Received03/08/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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