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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. Bard Inc. (Covington) -1018233 Unknown Latex Foley Catheter

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C.R. Bard Inc. (Covington) -1018233 Unknown Latex Foley Catheter Back to Search Results
Medical Device Problem Code Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/27/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that customer had experienced with at least three of our bard council tip catheters.Instead of the balloon inflating at the tip of the catheter within the patient's bladder, it inflated at the fork where the syringe connection and foley bag attachment sites were located.For today¿s issue, the ref# is (b)(4) and the lot# is nglr3780.Customer also had issues where there was a leak at the y junction and the fluid in the balloon port leaked out.They had two patient's council catheters fell out after surgery.
 
Additional Manufacturer Narrative
Corrections made to tab d.The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.The reported product number is unknown.The udi number for this product is not available.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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Brand Name
Unknown Latex 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 30014
+1(770)784-6100
MDR Report Key50620017
Report Number1018233-2026-05737
Device Sequence Number13436173
Product Code EZC
UDI-Device Identifier00801741017926
UDI-Public(01)00801741017926(17)280531(10)NGLR3780
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K910846
Number of Events Summarized1
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) 09/09/2026
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
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 Not provided
Supplement Date Received by Manufacturer09/08/2026
Initial Report FDA Received Date09/04/2026
Supplement Report FDA Received Date09/11/2026
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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