FDA Adverse Event Injury Summary report: N

STRATANF

MDR report key: 1724892 · Received June 10, 2010

Report

Report Number
MW5016326
Event Type
Injury
Date Received
June 10, 2010
Date of Event
May 5, 2010
Report Date
June 10, 2010
Manufacturer
ROCHESTER MEDICAL CORP.
Product Code
KOD
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
LA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT CAME TO THE EMERGENCY ROOM AND IN THE EMERGENCY ROOM AN ATTEMPT TO PUT A FOLEY CATHETER WAS SUCCESSFUL, BUT IT SEEMS THE FOLEY BALLOON WAS INFLATED IN THE URETHRA AND THE NURSE NOR PHYSICIAN WAS UNABLE TO DEFLATE THE BALLOON. THE UROLOGIST WAS CONSULTED AND HE HAD TO MANUALLY POP THE BALLOON WITH A STERILE NEEDLE PASSED THROUGH THE PERINEAL AREA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRATANF SILICONE FOLEY CATHETER KOD ROCHESTER MEDICAL CORP.

Patients

Seq Age Sex Outcome Treatment
1 48 YR Hospitalization