MAUDE Adverse Event Report: C.R. BARD INC. (COVINGTON) -1018233 SURESTEP INTERMITTENT CATHETER TRAY

Catalog Number	INTP14
Medical Device Problem Code	Component Misassembled (4004)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/10/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that the customer was attempting to straight catheter a patient with a nursing student.They had grabbed a 14f straight cath kit and used it up to the point of insertion and getting urine flow, but the urine flow stopped in the tube.It was then realized that there was a literal kink in the tubing not allowing the urine to flow and it was unable to be straightened out.Another 14f straight cath kit was obtained by writer and immediately upon opening it was noticed that the whole end of that tubing was bent at the end and would also not allow urine flow very well, so it was not used.Next, writer obtained a 16f coude straight cath kit and no issues with that one and was able to then student was able to perform procedure.Per customer follow up information received via email on 10dec2025, it was reported by the nursing instructor on the floor that day and left the two 14f catheters that were not useable out of the kit with the 5 main manager.They do not know if they still have them two months later.Nursing instructor also do not have the patient identifier with them anymore; it was the same female patient.The only medical intervention required was that it took three attempts to straight cath this patient as two of the kits were not right out of the sterile package.Troubleshooting would not have helped as the tube itself was kinked and could not be straightened to let urine flow.The first time it was inserted into the patient and at that time they saw the urine could only flow a few inches until it reached the kinked part.Then, the second kit they inspected closer and saw that it was kinked towards the end and therefore they did not even attempt to insert it into the patient.The third kit was a 16f one as they did want to try another 14f and it was perfect.
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Udi format updated with available product information per gudid.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.
Additional Manufacturer Narrative
Upon further review, bd has determined that this mdr was reported in error as it was found to be a cascading failure of an event previously reported.Udi format updated with available product information per gudid.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.
Event or Problem Description
It was reported that the customer was attempting to straight catheter a patient with a nursing student.They had grabbed a 14f straight cath kit and used it up to the point of insertion and getting urine flow, but the urine flow stopped in the tube.It was then realized that there was a literal kink in the tubing not allowing the urine to flow and it was unable to be straightened out.Another 14f straight cath kit was obtained by writer and immediately upon opening it was noticed that the whole end of that tubing was bent at the end and would also not allow urine flow very well, so it was not used.Next, writer obtained a 16f coude straight cath kit and no issues with that one and was able to then student was able to perform procedure.Per customer follow up information received via email on 10dec2025, it was reported by the nursing instructor on the floor that day and left the two 14f catheters that were not useable out of the kit with the 5 main manager.They do not know if they still have them two months later.Nursing instructor also do not have the patient identifier with them anymore; it was the same female patient.The only medical intervention required was that it took three attempts to straight cath this patient as two of the kits were not right out of the sterile package.Troubleshooting would not have helped as the tube itself was kinked and could not be straightened to let urine flow.The first time it was inserted into the patient and at that time they saw the urine could only flow a few inches until it reached the kinked part.Then, the second kit they inspected closer and saw that it was kinked towards the end and therefore they did not even attempt to insert it into the patient.The third kit was a 16f one as they did want to try another 14f and it was perfect.

• Brand Name: SURESTEP INTERMITTENT CATHETER TRAY
• Common Device Name: INTERMITTENT CATHETER TRAY
• Manufacturer (Section D): C.R. BARD INC. (COVINGTON) -1018233; 8195 industrial blvd; covington GA 30014
• Manufacturer (Section G): C.R. BARD INC. (COVINGTON) -1018233; 8195 industrial blvd; covington GA 30014
• Manufacturer Contact: xeeroy rada ; 8195 industrial blvd; covington, GA 30014 ; 7707846100
• MDR Report Key: 23850857
• Report Number: 1018233-2025-11324
• Device Sequence Number: 9543668
• Product Code: KOD
• UDI-Device Identifier: 00801741183294
• UDI-Public: (01)00801741183294
• Combination Product (Y/N): Y
• Initial Reporter State: PA
• 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,Health Professional,User Facility,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 01/06/2026

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 Catalogue Number: INTP14
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 12/10/2025
• Supplement Date Received by Manufacturer: 01/04/2026
• Initial Report FDA Received Date: 12/19/2025
• Supplement Report FDA Received Date: 01/06/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• 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: Female