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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 BARDEX® LUBRI-SIL® ALL-SILICONE FOLEY CATHETER

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C.R. BARD, INC. (COVINGTON) -1018233 BARDEX® LUBRI-SIL® ALL-SILICONE FOLEY CATHETER Back to Search Results
Model Number 175814
Device Problem Difficult to Insert (1316)
Patient Problems Pain (1994); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 06/28/2022
Event Type  malfunction  
Event Description
It was reported that the patient had been self-catharized with a silicone foley catheter for the first time eight weeks ago.Customer stated that during insertion it was very painful and there was some bleeding.Patient reported that they used lubrication and also reported that the balloon on the catheter seemed to stick out farther on the silicone catheter than it did on the latex catheters.Stated that the patient had a stricture and was using 12 french intermittent catheters prior to switching to latex foley catheters and patient did not pretest the balloon.No medical intervention was reported.Per customer via phone on (b)(6) 2022, the customer was being treated for bacterial prostatitis and had been using the antibiotic, cephalexin, to treat urinary tract infection.The customer kept getting infections which is why they switched to current catheters.It is unknown if the device contributed to the urinary tract infection at this time.
 
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 patient had been self-catharized with a silicone foley catheter for the first time eight weeks ago.Customer stated that during insertion it was very painful and there was some bleeding.Patient reported that they used lubrication and also reported that the balloon on the catheter seemed to stick out farther on the silicone catheter than it did on the latex catheters.Stated that the patient had a stricture and was using 12 french intermittent catheters prior to switching to latex foley catheters and patient did not pretest the balloon.No medical intervention was reported.Per customer via phone on 01jul2022, the customer was being treated for bacterial prostatitis and had been using the antibiotic, cephalexin, to treat urinary tract infection.The customer kept getting infections which is why they switched to current catheters.It is unknown if the device contributed to the urinary tract infection at this time.
 
Manufacturer Narrative
The reported event was inconclusive because no sample was returned for evaluation.A potential root cause for this failure could be "incorrect material formulation".The device history record was reviewed and found nothing that could have caused or contributed to the reported event.The instructions for use were found adequate and state the following: "to deflate catheter balloon: gently insert a luer slip tip syringe in the catheter valve.Never use more force than is required to make the syringe ¿stick¿ in the valve.If you notice slow or no deflation, re-seat the syringe gently.Allow the balloon to deflate slowly on its own.Do not aspirate or manually accelerate the deflation of the balloon.If permitted by hospital protocol, the valve arm may be severed.If this fails, contact adequately trained professional for assistance, as directed by hospital protocol.Should balloon rupture occur, care should be taken to assure that all balloon fragments have been removed from the patient.Visually inspect the product for any imperfections or surface deterioration prior to use" 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.H3 other text : the device was not returned.
 
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Brand Name
BARDEX® LUBRI-SIL® ALL-SILICONE 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
juan velez
8195 industrial blvd
covington 30014
7707846100
MDR Report Key15015186
MDR Text Key295899802
Report Number1018233-2022-05445
Device Sequence Number1
Product Code EZL
UDI-Device Identifier00801741034152
UDI-Public(01)00801741034152
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K984084
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Consumer,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 08/10/2022
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 Model Number175814
Device Catalogue Number175814
Device Lot NumberNGGP0162
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 06/28/2022
Initial Date FDA Received07/14/2022
Supplement Dates Manufacturer Received08/10/2022
Supplement Dates FDA Received08/18/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured02/08/2022
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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