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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

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C.R. BARD, INC. (COVINGTON) -1018233 BARDEX® LUBRICATH® FOLEY CATHETER Back to Search Results
Catalog Number 0165L18
Device Problems Difficult to Remove (1528); Device Handling Problem (3265)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/15/2024
Event Type  malfunction  
Event Description
It was reported that the balloon foley catheter connection cannot be disconnected.Per follow-up information received from ibc on 21feb2024, stated that the connection between the bag and the catheter was too tight to disconnect.They forced it off but reported it without using it for a time.Per follow up information received via ibc on 28feb2024, it was stated that there was patient involvement.
 
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 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 balloon foley catheter connection cannot be disconnected.Per follow-up information received from ibc on 21feb2024, stated that the connection between the bag and the catheter was too tight to disconnect.They forced it off but reported it without using it for a time.Per follow up information received via ibc on 28feb2024, it was stated that there was patient involvement.Per additional information received on 19mar2024, it was stated that in this hospital, the tamper evident seal was sometimes removed and used as a single piece of each and this time, when they peeled off the seal as usual and tried to remove each one individually, they found that it was even harder than usual and could not be removed on the spot.As per investigator notification received on 19mar2024, based on input shared by japan, the user used the product off label.
 
Manufacturer Narrative
Per investigator evaluation, bd has determined that this mdr 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.
 
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Brand Name
BARDEX® LUBRICATH® FOLEY CATHETER
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 Key18855772
MDR Text Key337510632
Report Number1018233-2024-01185
Device Sequence Number1
Product Code EZC
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 03/22/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/07/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number0165L18
Device Lot NumberMYFV1111
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/29/2024
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/22/2024
Was Device Evaluated by Manufacturer? No
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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