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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 UNKNOWN SILICONE TEMP-SENSING CATHETER; TEMPERATURE SENSING CATHETER

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C.R. BARD, INC. (COVINGTON) -1018233 UNKNOWN SILICONE TEMP-SENSING CATHETER; TEMPERATURE SENSING CATHETER Back to Search Results
Device Problems Difficult to Insert (1316); Failure to Advance (2524)
Patient Problems Hemorrhage/Bleeding (1888); Patient Problem/Medical Problem (2688)
Event Type  malfunction  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.The information provided by bd 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 bd.The device was not returned.
 
Event Description
It was reported that the temp sensing catheter stopped at the stricture upon insertion and allegedly caused self-limited bleeding.No medical intervention was reported.
 
Manufacturer Narrative
The device was not returned for evaluation.The lot number is unknown therefore the device history record could not be reviewed.A labeling review cannot be completed due to no product catalog # provided.The drf label section will reflect adequate as the there is no "n/a option" and there is not enough information to determine the labeling to be inadequate.The device was not returned.
 
Event Description
It was reported that the temp sensing catheter stopped at the stricture upon insertion and allegedly caused self-limited bleeding.No medical intervention was reported.
 
Event Description
It was reported that the temp sensing catheter stopped at the stricture upon insertion and allegedly caused self-limited bleeding.No medical intervention was reported.
 
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Section a through f - the information provided by bd 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 bd.
 
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 temp sensing catheter stopped at the stricture upon insertion and allegedly caused self-limited bleeding.No medical intervention was reported.
 
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Brand Name
UNKNOWN SILICONE TEMP-SENSING CATHETER
Type of Device
TEMPERATURE SENSING CATHETER
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington GA 30014
MDR Report Key8439342
MDR Text Key139539396
Report Number1018233-2019-01478
Device Sequence Number1
Product Code EZL
Combination Product (y/n)N
PMA/PMN Number
K070582
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,distributor,other
Type of Report Initial,Followup,Followup,Followup
Report Date 05/14/2019
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 Lay User/Patient
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 02/25/2019
Initial Date FDA Received03/21/2019
Supplement Dates Manufacturer Received03/25/2019
04/26/2019
05/09/2019
Supplement Dates FDA Received04/03/2019
05/13/2019
05/14/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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