MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 BARD INTRA-ABDOMINAL PRESSURE MONITORING DEVICE; INTRAABDOMINAL PRESSURE MONITORING KIT

Model Number	IAP001
Medical Device Problem Code	Disconnection (1171)
Health Effect - Clinical Codes	No Consequences Or Impact To Patient (2199); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/05/2021
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.
Event or Problem Description
It was reported that when attempted to place a urinary catheter with intraabdominal pressure monitoring device, the connection where the 2 devices connect, kept coming apart.The user put a microclave on the end of the connection, since the patient did need the monitoring.
Additional Manufacturer Narrative
The reported event was unconfirmed because the reported failure could not be reproduced.The reported failure is considered within specification as the reported failure could not be reproduced.The product was used for treatment.The product had not caused the reported failure.Visual evaluation of the returned sample noted one opened (without original packaging), used iap kit connected to a meter bag.Visual inspection of the sample noted no obvious visible defects.When the tubing was flushed with methylene blue solution (3 drops 1% aq methylene blue per 100ml distilled water), it leaked at the sample port at the connection between the interface of the sample port of the drain bag and the valve port of the iap.No leakage was noted between the tubing and the valve port of the iap was noted.No root cause could be found because the reported event was unconfirmed.A dhr review was not required as the investigation was unconfirmed.As the reported event is unconfirmed a risk review or labeling review is not required.H11: 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.H3 other text : the actual/suspected device was inspected.
Event or Problem Description
It was reported that when attempted to place a urinary catheter with intraabdominal pressure monitoring device, the connection where the 2 devices connect, kept coming apart.The user put a microclave on the end of the connection, since the patient did need the monitoring.Reported catalog numbers were nger3336, nger3337, nger0722.Per follow up via email on 23feb2021, the only problem reported was the connection between the urine meter tubing and the intra-abdominal tubing.

• Brand Name: BARD INTRA-ABDOMINAL PRESSURE MONITORING DEVICE
• Common Device Name: INTRAABDOMINAL PRESSURE MONITORING KIT
• Manufacturer (Section D): C.R. BARD, INC. (COVINGTON) -1018233; 8195 industrial blvd; covington 30014
• MDR Report Key: 11236764
• Report Number: 1018233-2021-00159
• Device Sequence Number: 17178548
• Product Code: PHU
• UDI-Device Identifier: 00801741121098
• UDI-Public: (01)00801741121098
• Combination Product (Y/N): N
• Initial Reporter State: PA
• Initial Reporter Country: US
• PMA/510(K) Number: K070201
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: other,user facility
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 07/22/2021

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
• Operator of Device: Health Professional
• Device Expiration Date: 04/30/2023
• Device Model Number: IAP001
• Device Catalogue Number: IAP001
• Device Lot Number: NGER0722
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 02/01/2021
• Initial Date Received by Manufacturer: 01/05/2021
• Supplement Date Received by Manufacturer: 07/22/2021
• Initial Report FDA Received Date: 01/27/2021
• Supplement Report FDA Received Date: 08/16/2021
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other