MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 BARD® TIEMANN MODEL UROLOGICAL CATHETER COUDE TIP; INTERMITTENT CATHETER

Catalog Number	010116
Medical Device Problem Code	Component Misassembled (4004)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/20/2023
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.H11: section a through f - the information provided by bard 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 bard.
Event or Problem Description
It was reported that customer got 3 boxes of 12 intermittent catheters that were defective all the same lot.Customer stated that the end of them was curl over and were very hard.Customer also mentioned that up at the top they were shorter in the packaging, 2 inch shorter than usual.Up at the top of the catheter, the outlet part there were a large bump on it.So, insertion would be difficult because of the hard curl end.Customer request replacement for the defective product.Per follow up via pone 08jun2023, customer stated that they did not use the catheters, they saw the defect before use and wanted to inform the company of the affected lots.Per notification from investigator on 31jul2023, during sample evaluation it was found that the scratch found on the shaft close to the funnel of catheter.Per additional information received via sample form on 20jun2023, it was reported that customer opened one box and saw a defective catheter, checked the others in the box, they were all the same, so he threw that box away.Stated that the next box was fine and then they got another box of defective catheters and stated that these were shorter than they should be.The tips were curled and the hole in the tip was much further up the catheter than it should be and they ware harder and less pliable than they should be.The outlet end had a bump on the outside.Stated that they also noticed that the print on the packaging was an off color from the usual packaging and they went through all their remaining boxes, and these were the only ones, and they were all the same lot number.Stated that they would be terribly uncomfortable to use and seem like they could hurt someone if they tried to use it, and this was the remainder of two boxes and could see the flaw through the packaging.No medical intervention was reported.
Additional Manufacturer Narrative
The reported event was unconfirmed because the reported failure could not be reproduced.The device met relevant specifications.Gross visual evaluation: "it was reported that the customer opened one box and saw a defective catheter, checked the others in the box, they were all the same, so he threw that box away" , this is considered inconclusive since no sample was returned to evaluate for non-conformities.The coude curve aligned with the coude indicator notch.The customer stated that the print on the packaging was an off color from the usual packaging; no abnormalities were noted on the packaging, and it is unknown how the catheter was being stored.The customer stated that they would be terribly uncomfortable to use and seem like they could hurt someone if they tried to use it; therefore, this investigation is considered customer preference.Dimensional evaluation: using a french gauge, all catheters were confirmed to be 16fr.The overall length of the catheters was measured and found to be within specification: catheter 1- 15.75",catheter 2 - 15.75",catheter 3 - 15.72",catheter 4 - 15.75",catheter 5 - 15.81",catheter 6 - 15.87",catheter 7 - 15.75",catheter 8 - 16.00",catheter 9 - 16.00",catheter 10 - 15.87".A review of the device history record did not show any problems or conditions that would have contributed to the reported issue.The reported event is unconfirmed a labeling review is not required.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 customer got 3 boxes of 12 intermittent catheters that were defective all the same lot.Customer stated that the end of them was curl over and were very hard.Customer also mentioned that up at the top they were shorter in the packaging, 2 inch shorter than usual.Up at the top of the catheter, the outlet part there were a large bump on it.So, insertion would be difficult because of the hard curl end.Customer request replacement for the defective product.Per follow up via pone 08jun2023, customer stated that they did not use the catheters, they saw the defect before use and wanted to inform the company of the affected lots.Per notification from investigator on 31jul2023, during sample evaluation it was found that the scratch found on the shaft close to the funnel of catheter.Per additional information received via sample form on 20jun2023, it was reported that customer opened one box and saw a defective catheter, checked the others in the box, they were all the same, so he threw that box away.Stated that the next box was fine and then they got another box of defective catheters and stated that these were shorter than they should be.The tips were curled and the hole in the tip was much further up the catheter than it should be and they ware harder and less pliable than they should be.The outlet end had a bump on the outside.Stated that they also noticed that the print on the packaging was an off color from the usual packaging and they went through all their remaining boxes, and these were the only ones, and they were all the same lot number.Stated that they would be terribly uncomfortable to use and seem like they could hurt someone if they tried to use it, and this was the remainder of two boxes and could see the flaw through the packaging.No medical intervention was reported.

• Brand Name: BARD® TIEMANN MODEL UROLOGICAL CATHETER COUDE TIP
• Common Device Name: INTERMITTENT 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 Key: 18290335
• Report Number: 1018233-2023-08804
• Device Sequence Number: 17708318
• Product Code: KOD
• UDI-Device Identifier: 00801741029875
• UDI-Public: (01)00801741029875
• Combination Product (Y/N): N
• Initial Reporter State: KY
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Consumer,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 12/21/2023

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: Lay User/Patient
• Device Expiration Date: 02/28/2025
• Device Catalogue Number: 010116
• Device Lot Number: NGFR3276
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/20/2023
• Supplement Date Received by Manufacturer: 12/22/2023
• Initial Report FDA Received Date: 12/08/2023
• Supplement Report FDA Received Date: 12/22/2023
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 05/13/2021
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown