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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
Catalog Number 175812
Device Problem Burst Container or Vessel (1074)
Patient Problem Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 02/15/2024
Event Type  malfunction  
Event Description
It was reported that a female patient had a foley catheter inserted and when the midwife inflated the catheter balloon with 10ml of saline, a pop sound was heard.Upon checking the withdrawn catheter without the balloon, it appeared to have burst in the bladder.The patient had minor harm and there were no clinical signs apparent immediately.
 
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 a female patient had a foley catheter inserted and when the midwife inflated the catheter balloon with 10ml of saline, a pop sound was heard.Upon checking the withdrawn catheter without the balloon, it appeared to have burst in the bladder.The patient had minor harm and there were no clinical signs apparent immediately.Per additional information via email from ibc on 08mar2024, not sure whether there were any missing pieces inside the patient's bladder.No investigation was performed to determine this.It was difficult to determine if the balloon was complete.No medical intervention was advised - discussed with consultant for the day and was advised to safety net the woman and have low threshold to investigate further.
 
Manufacturer Narrative
Upon further review, bd has determined that this mdr was reported in error as it was found to be a duplicate of an event previously reported.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® 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
xeeroy rada
8195 industrial blvd
covington 30014
7707846100
MDR Report Key18893380
MDR Text Key337688975
Report Number1018233-2024-01291
Device Sequence Number1
Product Code EZL
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
K984084
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 03/25/2024
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 Catalogue Number175812
Device Lot NumberNGGX3154
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/23/2024
Initial Date FDA Received03/13/2024
Supplement Dates Manufacturer Received03/20/2024
Supplement Dates FDA Received03/25/2024
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;
Patient SexFemale
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