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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD INC. (COVINGTON) -1018233 BARDEX® I.C. FOLEY CATHETER

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C.R. BARD INC. (COVINGTON) -1018233 BARDEX® I.C. FOLEY CATHETER Back to Search Results
Catalog Number 0165SI20
Medical Device Problem Code Inaccurate Flow Rate (1249)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported the patient stated he received a defective foley catheter.He did not have the lot nor serial number.It is unclear if troubleshooting was performed.No medical intervention or patient impact reported.No additional information provided.Per additional information received via email on 05dec2025, patient stated they were unable to get urine to flow through the catheter.He waited a few minutes before trying another catheter.Upon trying a new catheter, urine began to flow.He stated he did not have time to try figuring out what exactly was wrong with it and discarded the packaging with the lot number.A replacement catheter has already been shipped.It is unclear if the lot number was requested.No medical intervention or patient impact reported.No additional information provided.
 
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
The reported event was inconclusive because no sample was returned.It is unknown whether the device had met relevant specifications.The product was used for urological care.It was unknown whether the product had caused the reported failure.A potential root cause for this failure mode could be due blocked drainage lumen/drainage eye occlusion.The labeling and instructions for use were found to be adequate.The dhr review could not be performed without a lot number.Therefore, no additional action required at this time.Corrections: f, h.Udi format updated with available product information per gudid.H11: sections 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 the patient stated he received a defective foley catheter.He did not have the lot nor serial number.It is unclear if troubleshooting was performed.No medical intervention or patient impact reported.No additional information provided.Per additional information received via email on 05dec2025, patient stated they were unable to get urine to flow through the catheter.He waited a few minutes before trying another catheter.Upon trying a new catheter, urine began to flow.He stated he did not have time to try figuring out what exactly was wrong with it and discarded the packaging with the lot number.A replacement catheter has already been shipped.It is unclear if the lot number was requested.No medical intervention or patient impact reported.No additional information provided.
 
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Brand Name
BARDEX® I.C. FOLEY CATHETER
Common Device Name
FOLEY CATHETER
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 Key24063197
Report Number1018233-2026-00111
Device Sequence Number9113285
Product Code MJC
UDI-Device Identifier00801741016776
UDI-Public(01)00801741016776
Combination Product (Y/N)Y
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
K910318
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Consumer
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 02/10/2026
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 Number0165SI20
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 01/03/2026
Supplement Date Received by Manufacturer02/10/2026
Initial Report FDA Received Date01/13/2026
Supplement Report FDA Received Date02/20/2026
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 Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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