BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD FOLEY TRAY

    MDR report key: 18443117 · Received January 4, 2024

    Report

    Report Number
    18443117
    Event Type
    Other
    Date Received
    January 4, 2024
    Date of Event
    September 26, 2023
    Report Date
    November 2, 2023
    Manufacturer
    C. R. BARD, INC.
    Product Code
    EZC
    Report Source
    User Facility report
    Reporter Location
    ME
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    FROM STAFF: ATTEMPTING TO PLACE 16FR FOLEY CATHETER IN PATIENT FROM KIT, DUE TO INFECTION ISSUES, A NEW CATHETER WAS NEEDED. WHEN ATTEMPTING TO REMOVE USED CATHETER FROM BAG TUBING, THE CATHETER PULLED APART WHERE THE SALINE BALLOON PORT CONNECTS AND IN THE MIDDLE OF THE CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    615283 BARD FOLEY TRAY CATHETER, COUDE EZC C. R. BARD, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 20440 DA Female