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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 LATEX FOLEY CATHETER; UNKNOWN LATEX FOLEY CATHETER

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C.R. BARD, INC. (COVINGTON) -1018233 LATEX FOLEY CATHETER; UNKNOWN LATEX FOLEY CATHETER Back to Search Results
Catalog Number UNKNOWN
Device Problem Inadequacy of Device Shape and/or Size (1583)
Patient Problem Urinary Tract Infection (2120)
Event Date 01/26/2021
Event Type  Injury  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.
 
Event Description
It was reported that the catheter was too big for the patient and also stated that the doctor advised the patient to use different size catheter otherwise the patient will continue getting uti's.It was unknown what medical intervention was provided for urinary tract infections.
 
Manufacturer Narrative
The reported event was inconclusive as no sample returned for evaluation.It was unknown whether the device had met relevant specifications.The product was used for urological care.It was unknown whether the product had caused the reported failure.A potential root cause for this failure mode could be due to operator error or user related (incorrect catheter size used or insufficient lubricant applied).The device was not returned for evaluation.The lot number was unknown therefore the device history record could not be reviewed.The labeling review was unable to review due to the unknown product code.Although the product family was unknown the (foley catheter) ifus were found to be adequate based on past reviews.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 the catheter was too big for the patient and also stated that the doctor advised the patient to use a different size catheter otherwise the patient will continue getting the urinary tract infections.It is unknown what medical intervention was provided for the urinary tract infection.
 
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Brand Name
LATEX FOLEY CATHETER
Type of Device
UNKNOWN LATEX FOLEY CATHETER
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
MDR Report Key11349146
MDR Text Key232567984
Report Number1018233-2021-00662
Device Sequence Number1
Product Code EZC
Combination Product (y/n)N
PMA/PMN Number
K910846
Number of Events Reported1
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type consumer,other
Type of Report Initial,Followup
Report Date 06/12/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/19/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Catalogue NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received06/12/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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