FDA Adverse Event Malfunction Summary report: N

LOFRIC

MDR report key: 14268178 · Received May 3, 2022

Report

Report Number
3009632567-2022-00001
Event Type
Malfunction
Date Received
May 3, 2022
Date of Event
April 11, 2022
Report Date
April 15, 2022
Manufacturer
WELLSPECT HEALTHCARE(A DIVISION OF DENTSPLY IH AB)
Product Code
EZD
UDI-DI
07392532131813
PMA / PMN Number
K113424
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE PATIENT COULD NOT PROVIDE THE DEVICE LOT. NO PRODUCTS OF THE ACTUAL BATCH HAVE BEEN RETURNED TO THE MANUFACTURER FOR INVESTIGATION. WITHOUT THE BENEFIT OF EXAMINATION AND TESTING, WELLSPECT HEALTHCARE IS PRECLUDED FROM COMMENTING ON THE CONDITION OF THE DEVICE OR THE CAUSE OF THE OCCURRENCE. SHOULD ADDITIONAL FACTS PROMPT US TO ALTER OR SUPPLEMENT ANY INFORMATION OF CONCLUSIONS CONTAINED IN THIS REPORT, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

CUSTOMER REPORTED MODERATE BLEEDING FROM CATHETER USAGE AND TO REQUEST A DIFFERENT FRENCH SIZE. OUR CLINICAL NURSE, REACHED OUT TO THE PATIENT AND LEARNED HE WASN'T ACTIVATING LOFRIC CLASSIC (DRY CATHETER) PROPERLY. HE WAS USING A GEL LUBRICANT AND NOT SOAKING FOR 30 SECONDS WITH WATER ACCORDING TO PROVIDED INSTRUCTIONS FOR USE. HE WAS ALSO USING 18FR SAMPLES HE HAD LEFTOVER AT HOME. HIS REGULAR SHIPMENT IS FOR 16FR. HE SAID HE PREFERS USING A LOFRIC CATHETER WITH LUBRICANT (SALINE SOLUTION). WELLSPECT CUSTOMER SERVICE EMAILED THE PATIENT PRODUCT CATALOG, IFUS, MEN'S GUIDE AND INSTRUCTIONAL VIDEOS TO HELP HIM FIGURE IT OUT. THE PATIENT WAS ENCOURAGED TO CONTACT CUSTOMER SERVICE IF HE HAD ANY QUESTION ABOUT PRODUCT USAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1317619 LOFRIC LOFRIC NELATON 16 INCH, FR18 EZD WELLSPECT HEALTHCARE(A DIVISION OF DENTSPLY IH AB) 40018 07392532131813

Patients

Seq Age Sex Outcome Treatment
1 Male Other