FDA Adverse Event Malfunction Summary report: N

MAGIC3¿ INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE

MDR report key: 13392937 · Received January 31, 2022

Report

Report Number
1018233-2022-00251
Event Type
Malfunction
Date Received
January 31, 2022
Date of Event
January 10, 2022
Report Date
April 22, 2022
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
MJC
UDI-DI
00801741069727
PMA / PMN Number
K033477
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE DEVICE WAS NOT RETURNED.

Additional Manufacturer Narrative · 0

UPON FURTHER REVIEW, IT HAS BEEN DETERMINED THAT THIS EVENT IS NOT REPORTABLE. THE DEVICE WAS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS REUSING THE MAGIC 3 GO HYDROPHILIC MALE INTERMITTENT CATHETER AND RUNNING UNDER WATER TO RE LUBRICATE THE CATHETER. IT WAS ALSO STATED THAT THE PATIENT EXPERIENCED BLEEDING WHILE USING THE CATHETER. THE REPRESENTATIVE ADVISED THAT THE RUNNING UNDER WATER WOULD NOT RE LUBRICATE THE CATHETERS, AND THEY ONLY MEANT TO BE ONE TIME USE. IT WAS NOTED THAT THE PATIENT HAD BEEN USING THE PRODUCT FOR MORE THAN 90 DAYS. NO MEDICAL INTERVENTION WAS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS REUSING THE MAGIC 3 GO HYDROPHILIC MALE INTERMITTENT CATHETER AND RUNNING UNDER WATER TO RE LUBRICATE THE CATHETER. IT WAS ALSO STATED THAT THE PATIENT EXPERIENCED BLEEDING WHILE USING THE CATHETER. THE REPRESENTATIVE ADVISED THAT THE RUNNING UNDER WATER WOULD NOT RE LUBRICATE THE CATHETERS, AND THEY ONLY MEANT TO BE ONE TIME USE. IT WAS NOTED THAT THE PATIENT HAD BEEN USING THE PRODUCT FOR MORE THAN 90 DAYS. NO MEDICAL INTERVENTION WAS REPORTED. PER FOLLOW-UP VIA PHONE ON 07FEB2022, PATIENT STATED THAT NO MEDICAL ATTENTION REQUIRED FOR BLEEDING AND THEY RECEIVED A DIFFERENT CATHETER AND NO LONGER HAD ANY CATHETER ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1927000 MAGIC3¿ INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE MAGIC3 INTERMITTENT CATHETER MJC C.R. BARD, INC. (COVINGTON) -1018233 53516G NGBP0262 00801741069727
2277653 MAGIC3¿ INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE MAGIC3 INTERMITTENT CATHETER MJC C.R. BARD, INC. (COVINGTON) -1018233 53516G NGBP0262 00801741069727

Patients

Seq Age Sex Outcome Treatment
1 Male Other