MAUDE Adverse Event Report: C.R. BARD INC. (COVINGTON) -1018233 Lubri-Sil® I.C. Complete Care® Temperature-Sensing Urine Meter Foley Tray

Catalog Number	319214A
Medical Device Problem Codes	Inflation Problem (1310); Fitting Problem (2183)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/12/2026
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.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 after inserting the foley catheter to the patient in the operating room, water could not be infused, and leakage was confirmed from the valve, so removal was decided.Then tried to withdraw water using a syringe, but it could not be drawn at all.The catheter was removed, leaving a small amount of sterile water remaining.No bleeding or other issues were observed.The troubleshooting procedure in the notice document was tried and still not able to withdraw water.

• Brand Name: Lubri-Sil® I.C. Complete Care® Temperature-Sensing Urine Meter Foley Tray
• Common Device Name: Urine Meter Foley 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 ; +1(770)784-6100
• MDR Report Key: 24448061
• Report Number: 1018233-2026-01272
• Device Sequence Number: 21409417
• Product Code: MJC
• Combination Product (Y/N): Y
• Initial Reporter Country: JA
• PMA/510(K) Number: K070582
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,User Facility
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 09/23/2026

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: 319214A
• Device Lot Number: MYKU6003
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 02/27/2026
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/18/2026
• Supplement Date Received by Manufacturer: 08/26/2026; 09/23/2026
• Initial Report FDA Received Date: 02/25/2026
• Supplement Report FDA Received Date: 08/28/2026; 09/25/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• 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