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The reported event was confirmed ¿ manufacturing related.The reported failure was able to be reproduced.The product was used for urological care.Based on the evaluation, a tear was found on the rubberized layer causing inter lumen leakage.Hence, this complaint was confirmed related to manufacturing process.A potential root cause for this failure could be insufficient latex strength, low/non-uniform rubberize thickness, incorrect wire pressing technique, incorrect stripping technique etc.The device history record was reviewed and found a possible manufacturing issue(s) that could have caused or contributed to the reported event.The instructions for use were found adequate and state the following: warnings 1.Method for use (1) do not inflate the balloon in the urethra.The urethra may be injured.(2) do not pull the catheter hard.The bladder/urethra may be injured 2.Applicable patients patients with delirium who might pull out catheter when patient tugs at catheter unconsciously the bladder and urethra may be damaged.Contraindications 1.Method for use: (1) do not reuse.(2) do not resterilize.(3) be careful that the catheter is not exposed to ointments, contrast medium or oil based lubricants (including vegetable oi ls such as olive oil, mineral oils such as white petrolatum and animal oils).They may damage the device and may burst balloon.(4) do not hold the device with forceps, etc.Avoid contact with any blades or sharp edged instruments.Catheter damage may cause balloon rupture and accidental balloon removal or failure to deflate or remove the balloon.2.Applicable patients (1) do not use in patients who are or have been allergic to natural rubber latex shape, configuration and principles bardia biocath foley catheter is a balloon catheter.There are different type variations, for example, 2way and 3way products.Some may include a syringe prefilled with sterile water and a water-soluble lubricant as an accessory.Material balloon catheter: natural rubber latex sizes of catheters available in sizes 12 to 26every 2fr 1.Balloon catheter inflation valve irrigation funnel drainage funnel inflation funnel balloon cross section of catheter drainage lumen irrigation lumen inflation lumen cap 2.Accessories syringe prefilled with sterile water water-soluble lubricant (neither of them may be included in some product variations.) intended use & effect-efficacy this device is designed to be placed in the bladder for the purpose of urinary drainage and bladder irrigation.Directions for use 1.Method of use the device is intended for single use only and is not reusable.The device is intended for single use only and is not reusable.(1) cleanse the area around the external urethral meatus with the cotton balls immersed in the antiseptics.(2) lubricate the distal end of the catheter with water-soluble lubricant.(3) insert catheter into the urethral meatus and advance it until the balloon enters the bladder and urine flows out through the catheter.Using a needle-less syringe, infuse the specified volume of sterile water into the inflation lumen to inflate the balloon.(4) pull catheter to seat the balloon at the level of the bladder neck and secure placement.(5) to deflate balloon and remove catheter, insert luer tip(needleless) syringe in the inflation valve to allow the water to drain spontaneously.After balloon deflation, withdraw the catheter while confirming that no resistance is encountered.2.Precautions for use 1) when resistance is encountered in inserting catheter, stop the procedure and remove the catheter.2) when deflating balloon, do not aspirate with a syringe.The inflation lumen for balloon deflation may be occluded by negative pressure, and as a result the catheter cannot be removed.3) when inserting catheter with a stylet, confirm that the stylet has reached the tip of the catheter, and make sure to keep the stylet in place inside the catheter during insertion.4) no substance except sterile water should be used to inflate the balloon.5) do not wipe catheter surface with organic solvents such as alcohol.6) do not aspirate urine through drainage funnel wall.7) since movement of the body, etc.May twist or bend catheter to cause occlusion, care should be taken to fix the catheter securely.8) when urinary flow cannot be noted, confirm that the catheter is neither occluded nor broken.9) when irrigating, open the cap of irrigation funnel and attach irrigation line or tube under aseptic technique.After use, close the cap.Precautions 1.Precautions for use (exercise caution when using the device in the following patients) 1) exercise caution when using the device in patients with high urinary calcium levels as encrustation on the balloon surface, catheter occlusion or damage may occur.2.Important precautions 1) when catheter is inadvertently removed, inspect the balloon and shaft of catheter for rupture, defect, etc.Before inserting a new catheter.2) when any part of the balloon and/or the catheter is missing, consider removing them using a cystoscope.3) when it is difficult to remove catheter by deflating the balloon, take appropriate measures according to the section troubleshooting.Troubleshooting when it is difficult to remove catheter by deflating the balloon (expressed as removal difficult case hereinafter), take appropriate measures according to the following procedures.The following two methods are available for removal difficult cases.A.Non rupture method (sterile water is withdrawn without bursting the balloon.) b.Balloon rupture method with balloon rupture method, fragments of the ruptured balloon may remain in the bladder.Therefore, try non rupture method first.3.Malfunction and adverse events 1)malfunction -catheter kinking, damage, rupture -difficulty or failure to remove the device -occlusion of catheter inner lumens -encrustation -accidental removal of the device due to leakage of sterile water or balloon rupture -device damage due to inappropriate use -failure to measure temperature -improper temperature indication 2) adverse events -urinary tract infection -hemorrhage, hematuria -allergy reaction to the device -calculus formation -edema -pain -discomfort -injury of bladder or urethral -urethritis, urinary incontinence -retained balloon fragments storage method and expiration date 1.Storage store in a dry, cool place away from heat, moisture, and direct sunlight.2.Expiration date indicated on the direct package and the outer box.Correction: d, f, h this report references a us equivalent device.The us udi equivalent for this product number is used.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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