FDA Adverse Event
Malfunction
Summary report: N
FOLEY CATHETER INSERTION KIT
MDR report key: 18324395
·
Received December 13, 2023
Report
- Report Number
- MW5149211
- Event Type
- Malfunction
- Date Received
- December 13, 2023
- Date of Event
- December 5, 2023
- Report Date
- December 11, 2023
- Manufacturer
- BARD MEDICAL / C.R. BARD, INC.
- Product Code
- EZC
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PRIOR TO INSERTION IN A PATIENT, FOLEY CATHETER BALLOON WAS INFLATED. UPON ATTEMPTS TO DEFLATE THE BALLOON, THE BALLOON WOULD NOT DEFLATE AND REMAINED INFLATED. ANOTHER FOLEY KIT WAS PULLED AND THE BALLOON WAS INFLATED AND WOULD NOT DEFLATE. NO PATIENT INVOLVEMENT, ALL EVENTS OCCURRED PRIOR TO INSERTION TO A PATIENT. REF REPORT MW5149212.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 59247 | FOLEY CATHETER INSERTION KIT | CATHETER, COUDE | EZC | BARD MEDICAL / C.R. BARD, INC. | NGHV1794 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |