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

Model Number	IAP001
Medical Device Problem Code	Fluid/Blood Leak (1250)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	03/02/2021
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.The device was not returned.
Event or Problem Description
It was reported that there was a liquid leak from the connector of the sample port.Per additional information received via email from ibc on 15mar2021, it was unknown that liquid leaked from the sample port was whether water or urine.
Additional Manufacturer Narrative
The reported event was confirmed however the cause was unknown.One sample was confirmed to exhibit the reported failure.Visual evaluation of the returned sample noted one opened (without original package) used intra abdominal pressure monitoring device (iap) kit was received.Visual inspection of the sample noted no obvious visible defects.The methylene blue solution (3 drops 1 percent aqueous methylene blue per 100 ml distilled water) was injected into the sample port and leaked out of the area where the tubing connects to the sample port.The device did not meet the specifications and was influenced by the reported failure.The product was used for treatment.A potential root cause for this failure mode could be due to insufficient adhesive.The lot number was unknown therefore the device history record could not be reviewed.The instructions for use were found adequate and state the following: "indications for use: the bard® intra-abdominal pressure (iap) monitoring device is intended for the monitoring of intra-abdominal pressure via a foley urinary catheter.The measured pressures can be used as an aid in the diagnosis of intra-abdominal hypertension (iah) and the associated clinical syndrome of abdominal compartment syndrome (acs).Important: the bard® intra-abdominal pressure monitoring device does not include a saline bag, pressure transducer or monitoring system.It adapts to the saline bag, pressure transducer and monitoring system used in your icu.The bard® intra-abdominal pressure monitoring device must be replaced at the time the urinary catheter and/or urinary drainage tubing is replaced.The bard® intra-abdominal pressure monitoring device is for use with bard® foley trays with ez-lok® sampling port.Contraindications not for use on pediatric patients.Not for use on patients with compromised bladder function.Warnings: use only saline for pressure measurement.Ensure tubing fluid path is primed so there are no air bubbles.Ensure the iap sampling port is seated tightly to the catheter drainage tubing sampling port prior to use.Precautions: single use only federal (u.S.A.) law restricts this device to sale by or on the order of a physician.Not made with natural rubber latex.Sterile unless package is opened or damaged, except for any individually packaged components within the tray which are not labeled as sterile.These components are not terminally sterilized.This is a single use device.Do not resterilize any portion of this device.Reuse and or repackaging may create a risk of patient or user infection, compromise the structural integrity and or essential material and design characteristics of the device, which may lead to device failure, and or lead to injury, illness or death of the patient.Sterile contents: 30 cc syringe.Infusion and pressure transducer tubing.Saline bag spike & cap.Zeroing stopcock.Dead-end transducer cap.Proprietary drain tube clamp.Valve port.Check valves for controlling and directing flow.Statlock® foley device kit." 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.H3 other text : the actual/suspected device was inspected.
Event or Problem Description
It was reported that there was a liquid leak from the connector of the sample port.Per additional information received via email from the ibc on (b)(6) 2021 it was unknown the liquid leaked from the sample port was whether the water or urine.

• Brand Name: BARD INTRA-ABDOMINAL PRESSURE MONITORING DEVICE
• Common Device Name: INTRA-ABDOMINAL PRESSURE MONITORING DEVICE (IAP)
• Manufacturer (Section D): C.R. BARD, INC. (COVINGTON) -1018233; 8195 industrial blvd; covington 30014
• MDR Report Key: 11572562
• Report Number: 1018233-2021-01629
• Device Sequence Number: 4150684
• Product Code: PHU
• UDI-Device Identifier: 00801741121098
• UDI-Public: (01)00801741121098
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: K070201
• Number of Events Summarized: 1
• Summary Report (Y/N): Y
• Reporter Type: Manufacturer
• Report Source: other,user facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 08/26/2021

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 Model Number: IAP001
• Device Catalogue Number: IAP001
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 04/01/2021
• Initial Date Received by Manufacturer: 03/03/2021
• Supplement Date Received by Manufacturer: 08/26/2021
• Initial Report FDA Received Date: 03/25/2021
• Supplement Report FDA Received Date: 09/16/2021
• 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