FDA Adverse Event Malfunction Summary report: N

BARDEX® LUBRI-SIL® I.C. ALL-SILICONE FOLEY CATHETER

MDR report key: 17434366 · Received August 1, 2023

Report

Report Number
1018233-2023-05651
Event Type
Malfunction
Date Received
August 1, 2023
Date of Event
July 10, 2023
Report Date
July 13, 2023
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
EZL
UDI-DI
00801741025235
PMA / PMN Number
K040504
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT WAS INCONCLUSIVE BECAUSE NO SAMPLE WAS RETURNED. A POTENTIAL ROOT CAUSE FOR THIS FAILURE COULD BE DUE TO "INCORRECT BALLOON DESIGN (BALLOON WALL THICKNESS EXCESSIVE)". IT IS UNKNOWN WHETHER THE DEVICE HAD MET RELEVANT SPECIFICATIONS. THE PRODUCT WAS USED FOR TREATMENT PURPOSES. IT WAS UNKNOWN WHETHER THE PRODUCT HAD CAUSED THE REPORTED FAILURE. THE LOT NUMBER IS UNKNOWN; THEREFORE, THE DEVICE HISTORY RECORD COULD NOT BE REVIEWED. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: "LUBRI-SIL® I.C. ANTI-MICROBIAL ALL-SILICONE FOLEY CATHETER WITH BARD® HYDROGEL AND BACTI-GUARD® SILVER ALLOY COATING INFECTION CONTROL ALL-SILICONE FOLEY CATHETER 100% LATEX FREE. WARNING: ON CATHETERS, DO NOT USE OINTMENT OR LUBRICANT. THEY CAN DAMAGE THE SILICONE AND MAY CAUSING THE BALLOON TO BURST. WARNING: AFTER USE, THIS PRODUCT MAY CONTAIN POTENTIAL BIOHAZARD. HANDLE AND DISPOSE OF IN ACCORDANCE WITH APPLICABLE LOCAL, STATE AND FEDERAL LAWS AND REGULATIONS. CAUTION: FEDERAL (U.S.) LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN. CAUTION: DO NOT ASPIRATE URINE THROUGH THE DRAINAGE FUNNEL WALL. STORAGE: STORE THE CATHETER AT ROOM TEMPERATURE AWAY FROM DIRECT EXPOSURE TO LIGHT, PREFERABLY IN THE ORIGINAL BOX. NOTE: AGGRESSIVE TRACTION, PARTICULARLY IN THE PRESENCE OF SUTURING, IS NOT RECOMMENDED FOR 100% SILICONE FOLEY CATHETERS. STERILE UNLESS PACKAGE HAS BEEN OPENED OR DAMAGED. SINGLE PATIENT USE ONLY. DO NOT REUSE. DO NOT RE-STERILIZE. FOR UROLOGICAL USE ONLY. VALVE TYPE: USE LUER SLIDE SYRINGES. DO NOT USE NEEDLES. CATHETERS SHOULD BE REPLACED IN ACCORDANCE WITH THE CDC GUIDELINES ¿GUIDELINE FOR PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTION¿. AT THE ONSET OR FIRST SIGNS OF A URINARY TRACT INFECTION, CATHETER ENCRUSTATION, OR ANY OTHER CATHETER-RELATED ADVERSE EFFECT, THE CATHETER SHOULD BE REPLACED. PREVENTING CATHETER-RELATED TO DEFLATE THE CATHETER BALLOON: GENTLY INSERT THE SYRINGE INTO THE CATHETER VALVE. NEVER USE MORE FORCE THAN IS REQUIRED TO MAKE THE SYRINGE ¿STICK¿ IN THE VALVE. IF YOU NOTICE SLOW OR NO DEFLATION, RE-SEAT THE SYRINGE GENTLY. ALLOW THE BALLOON TO DEFLATE SLOWLY ON ITS OWN. DO NOT ASPIRATE OR MANUALLY ACCELERATE THE DEFLATION OF THE BALLOON. IF PERMITTED BY HOSPITAL PROTOCOL, THE VALVE ARM MAY BE SEVERED. IF THIS FAILS, CONTACT ADEQUATELY TRAINED PROFESSIONAL FOR ASSISTANCE, AS DIRECTED BY HOSPITAL PROTOCOL. SHOULD BALLOON RUPTURE OCCUR, CARE SHOULD BE TAKEN TO ASSURE THAT ALL BALLOON FRAGMENTS HAVE BEEN REMOVED FROM THE PATIENT. VISUALLY INSPECT THE PRODUCT FOR ANY IMPERFECTIONS OR SURFACE DETERIORATION PRIOR TO USE. RECOMMENDED INFLATABLE CAPACITIES 5CC BALLOONS: USE 10CC STERILE WATER 30CC BALLOON: USE 35CC STERILE WATER DO NOT EXCEED RECOMMENDED CAPACITY." H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL 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 BD.

Description of Event or Problem · 0

IT WAS REPORTED THAT THESE FOLEY CATHETER CAUSED BLEEDING AND WERE DIFFICULT TO REMOVE. NO MEDICAL INTERVENTION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1634737 BARDEX® LUBRI-SIL® I.C. ALL-SILICONE FOLEY CATHETER SILICONE FOLEY CATHETER EZL C.R. BARD, INC. (COVINGTON) -1018233 UNK 00801741025235

Patients

Seq Age Sex Outcome Treatment
1 Male Other