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U.S. Department of Health and Human Services

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

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C.R. BARD, INC. (COVINGTON) -1018233 MAGIC3¿ INTERMITTENT CATHETER; MAGIC 3 CATHETER Back to Search Results
Model Number 51312
Medical Device Problem Code Device Damaged Prior to Use (2284)
Health Effect - Clinical Code Patient Problem/Medical Problem (2688)
Date of Event 07/11/2019
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was not returned for evaluation.A potential failure mode could be ¿loose mandrel guides/excess vibration on the pallet.¿ a potential root cause for this failure could be ¿mandrels touching each other within the pallet.¿ the device history record was reviewed and found nothing that could have caused or contributed to the reported event.The instructions for use were found adequate and state the following: "for urological use only.Urinary catheters are intended for use for bladder management including urine drainage, collection and measurement.The devices are passed to the urinary bladder via the urethra.Warnings: this is a single use device.Do not reuse.Reuse of a single use device increases the risk of catheter acquired urinary tract infections.How to prepare and use your urinary catheter: wash your hands thoroughly with soap and water.Peel open the pack at the funnel end to expose approximately 2¿- 4¿ of the catheter.Don¿t remove the catheter yet.Wash the area around the meatus before catheterizing.Wash your hands again.Using the catheter: with sure-grip¿ sleeve: hold the sure-grip¿ sleeve with your dominant hand and squeeze it to hold the catheter shaft as you remove the catheter from the pack.Next, hold the catheter funnel above the sure-grip¿ sleeve with your other hand and slide the sure-grip¿ sleeve down the shaft, stopping at about 6¿ from the tip.Release the funnel.Using the sure-grip¿ sleeve to hold the catheter firmly, lubricate catheter tip with lubricating gel.While gripping the catheter with the sure-grip¿ sleeve, gently pass the tip of the catheter into your urethra until the sure-grip¿ sleeve nears the meatus.If there is no urine flow, loosen the tension on the sure-grip¿ sleeve to allow it to slide back towards the funnel end.Re-grip sure-grip¿ sleeve and continue to insert the catheter into the urethra.Repeat until urine starts to flow.Without sure-grip¿ sleeve: remove the catheter from the pack.Lubricate the catheter tip with lubricating gel.Gently pass the tip of the catheter into your urethra and advance the catheter until urine starts to flow.Try to keep the catheter steady until urine stops flowing.When urine stops flowing, slowly withdraw the catheter, stopping if flow starts again, until the last few drops have drained.Finish by disposing of the catheter and its packaging.Wash your hands with soap and water.".
 
Event or Problem Description
It was reported that the tip of the catheter was pointed and sharp and was not polished or round which allegedly caused the patient to experienced self-limited bleeding during use.No medical intervention was reported.
 
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Brand Name
MAGIC3¿ INTERMITTENT CATHETER
Common Device Name
MAGIC 3 CATHETER
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington GA 30014
MDR Report Key8903648
Report Number1018233-2019-04848
Device Sequence Number227648
Product Code KOD
UDI-Device Identifier00801741068126
UDI-Public(01)00801741068126
Combination Product (Y/N)N
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
K000723
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source distributor,other,user facili
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 08/16/2019
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 Expiration Date09/01/2021
Device Model Number51312
Device Catalogue Number51312
Device Lot NumberJUAX0735
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/24/2019
Initial Report FDA Received Date08/16/2019
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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