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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: UNKNOWN FOLEY CATHETER; CATHETER, RETENTION TYPE, BALLOON

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UNKNOWN FOLEY CATHETER; CATHETER, RETENTION TYPE, BALLOON Back to Search Results
Device Problem Patient Device Interaction Problem (4001)
Patient Problems Low Blood Pressure/ Hypotension (1914); Unspecified Infection (1930)
Event Date 03/02/2023
Event Type  Injury  
Event Description
An 80-year-old patient was sent to the hospital for decreased responsiveness and hypotension on (b)(6) 2023.Upon return on (b)(6) 2023, prn alprazolam 0.125 mg tablet was stopped due to their multiple hospitalizations since starting it.Alprazolam was subsequently replaced with quetiapine which has been extremely helpful.Md added alprazolam to the patient's allergy list.On (b)(6) 2023, patient was seen for mental status changes and hypotension thought secondary to his chronic indwelling foley catheter.He was sent to hospital for probable sepsis with mental status changes and hypotension.Likely source is either chronic foley or aspiration.Hospital hypothesized that possibly he was having mental status changes and urinary organisms found are colonizers vs.Pathogens.This was rated as possible.Schizophrenia, other specified personality disorder, hypertension, metabolic syndrome, type 2 diabetes mellitus with diabetic neuropathy.Anxiety.
 
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Brand Name
FOLEY CATHETER
Type of Device
CATHETER, RETENTION TYPE, BALLOON
Manufacturer (Section D)
UNKNOWN
MDR Report Key17109979
MDR Text Key317127211
Report NumberMW5118337
Device Sequence Number1
Product Code EZL
Combination Product (y/n)Y
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 06/07/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received06/09/2023
Patient Sequence Number1
Patient Outcome(s) Other; Hospitalization;
Patient Age80 YR
Patient SexMale
Patient Weight96 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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