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U.S. Department of Health and Human Services

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

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C.R. BARD, INC. (COVINGTON) -1018233 UNKNOWN LATEX FOLEY CATHETER Back to Search Results
Device Problem Incorrect Measurement (1383)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/03/2023
Event Type  malfunction  
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 8french foley catheters used in a pediatric code, failed when attempting to inflate the balloon during the insertion attempts.When another catheter was removed and inspected, it was noted that there were multiple holes in the catheter itself and the balloon was unable to inflate.Another catheter was inspected that was sent down from the pediatric floor and the same issue was noted with their supply as well.The 10french foley catheters were not noted to have malfunctioned, but could not be used as they were too small for the patient.This issue caused the intubated pediatric patient to not have a foley catheter in place prior to being flown out to another hospital.
 
Event Description
It was reported that 8french foley catheters used in a pediatric code, failed when attempting to inflate the balloon during the insertion attempts.When another catheter was removed and inspected, it was noted that there were multiple holes in the catheter itself and the balloon was unable to inflate.Another catheter was inspected that was sent down from the pediatric floor and the same issue was noted with their supply as well.The 10french foley catheters were not noted to have malfunctioned, but could not be used as they were too small for the patient.This issue caused the intubated pediatric patient to not have a foley catheter in place prior to being flown out to another hospital.
 
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 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.
 
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Brand Name
UNKNOWN LATEX FOLEY CATHETER
Type of Device
LATEX 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 Key16435751
MDR Text Key310251649
Report Number1018233-2023-01184
Device Sequence Number1
Product Code EZC
Combination Product (y/n)N
Reporter Country CodeUS
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 03/09/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/24/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/06/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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