MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 MAGIC3 TOUCHLESS¿ HYDROPHILIC INTERMITTENT CATHETER SYSTEM; MAGIC 3 TOUCHLESS

Model Number	58810
Medical Device Problem Code	Restricted Flow rate (1248)
Health Effect - Clinical Codes	No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
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.The information provided by bard represents all of 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 bard.The device was not returned.
Event or Problem Description
It was reported that after inserting the magic 3 touchless catheter the urine was not draining into the bag, as if the bag was air locked.No medical intervention was reported.
Event or Problem Description
It was reported that after inserting the magic 3 touchless catheter the urine was not draining into the bag, as if the bag was air locked.No medical intervention was reported.
Additional Manufacturer Narrative
The device was not returned for evaluation.The lot number is unknown; therefore, the device history record could not be reviewed.The instructions for use state the following: "caution: federal (usa) law restricts this device to sale by or on the order of a physician.After use, this product may be a potential biohazard.Handle and dispose of in accordance with accepted medical practice and with applicable local, state and federal laws and regulations intended use: for urological use only.The magic3 touchless¿ hydrophilic intermittent catheter system is intended for use by patients for the purpose of bladder drainage.Instructions for use: preparing for catheterization: 1.Open kit and remove contents.2.Wash hands.3.Activate the catheter¿s hydrophilic coating by releasing the sterile water from the foil packet into the collection bag.A.Apply pressure to the foil packet to release the water.B.Ensure all water is released from the foil packet.4.Wet the catheter coating by tipping the collection bag end-to-end six or more times.This transfers the enclosed water back and forth over the catheter to fully wet the hydrophilic coating.Ensure water flows into the insertion tip to fully wet the catheter tip.Male/female catheterization: 1.Male - prepare the male urethral meatus and the surrounding area with the antiseptic provided.Female - prepare the female urethral meatus by holding the outer labia apart and prep the urethral meatus and surrounding area with the antiseptic provided.2.Remove white cap from insertion tip while squeezing tabs.Save cap for closing the bag.3.Slide the catheter halfway into the insertion tip.4.Male - holding the penis, advance the insertion tip into the urethra no further than the flange base.Female - spread the inner labia, advance the insertion tip into the urethra no further than the flange base.Release the inner labia.5.Place your nondominant hand on the sure-grip¿ sleeve to stabilize catheter in urethra.With your dominant hand, grasp catheter through bag approximately 1" below the sure-grip¿ sleeve and push catheter into urethra.The catheter should be introduced by short, repetitive pushing motions.Repeat motions until catheter reaches bladder and urine starts to flow.6.Allow urine to flow freely, making certain the sure-grip¿ sleeve is elevated at least 4" above lower portion of the bag.Allow flow until bladder is empty or until bag is filled.Precaution: it is recommended that the collection bag be held.The catheter could possibly separate from the collection bag when urine increases weight of the bag.7.Withdraw the catheter from the urethra.If desired, the remaining portion of the catheter can be removed from the collection bag by pulling it through the insertion tip.N note: the catheter is designed to pass through the insertion tip.8.The filled collection bag may be closed by replacing the cap over the insertion tip.Make sure the cap snaps on securely.Specimen collection: to collect a specimen, obtain a sample cup/tube and alcohol wipe.Remove tip by pulling tab(s) upward from bag.Wipe port with alcohol.Pour specimen through port at top of bag into cup/tube.Draining bag: option 1 - remove insertion tip by pulling tab(s) upward from bag.Drain urine through port at top of bag.Option 2 - open bag by tearing at the marked perforation.Drain urine through opening.".

• Brand Name: MAGIC3 TOUCHLESS¿ HYDROPHILIC INTERMITTENT CATHETER SYSTEM
• Common Device Name: MAGIC 3 TOUCHLESS
• Manufacturer (Section D): C.R. BARD, INC. (COVINGTON) -1018233; 8195 industrial blvd; covington GA 30014
• MDR Report Key: 7739708
• Report Number: 1018233-2018-03190
• Device Sequence Number: 1050357
• Product Code: MJC
• UDI-Device Identifier: 00801741104039
• UDI-Public: (01)00801741104039
• Combination Product (Y/N): N
• Initial Reporter State: GA
• Initial Reporter Country: US
• PMA/510(K) Number: K033477
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: consumer,other
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 09/05/2018

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: Lay User/Patient
• Device Model Number: 58810
• Device Catalogue Number: 58810
• Was Device Available for Evaluation?: No
• Initial Date Received by Manufacturer: 07/09/2018
• Supplement Date Received by Manufacturer: 08/12/2018
• Initial Report FDA Received Date: 08/01/2018
• Supplement Report FDA Received Date: 09/05/2018
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1