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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

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C.R. BARD, INC. (COVINGTON) -1018233 LATEX FOLEY CATHETER Back to Search Results
Device Problem Inadequacy of Device Shape and/or Size (1583)
Patient Problems Skin Tears (2516); Urethral Stenosis/Stricture (4501)
Event Date 01/05/2023
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 customer had a transurethral resection of the prostate (turp) surgery, and the design of the catheter was causing them issues.The customer did not give medical intervention information.The date of the event was january 5th.Per follow-up information received on 22feb2023, stated that the customer was using a 3-way foley and had a spontaneous erection.During the erection, the customer had a tear to their urethra.The customer developed a stricture and was having a procedure to rectify it.They suggested that 2¿3 inches need to be added to the catheter to prevent this issue.
 
Manufacturer Narrative
The reported event is inconclusive as no sample was returned for evaluation.It is unknown whether the device had met relevant specifications.The product was used for urological care.A potential root cause for this failure mode could be due to incorrect former selection caused incorrect catheter size dipped.The dhr review could not be performed without a lot number.Unable to review the labelling due to unknown product code.Although the product family is unknown, the foley catheter ifus are found to be adequate based on past reviews.H11: section a through f - the information provided by bard 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 bard.
 
Event Description
It was reported that the customer had a transurethral resection of the prostate (turp) surgery and the design of the catheter was causing them issues.The customer did not give medical intervention information.The date of event was january 5th.Per follow-up information received on (b)(6) 2023, stated that the customer was using a 3 way foley and had a spontaneous erection.During the erection, the customer had a tear to their urethra.The customer developed a stricture and was having a procedure to rectify it.They suggested that 2-3 inches need to be added to the catheter to prevent this issue.
 
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Brand Name
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 Key16543893
MDR Text Key311289858
Report Number1018233-2023-01728
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 03/30/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/15/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/30/2023
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) Required Intervention;
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