BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BARD

    MDR report key: 1884920 · Received October 21, 2010

    Report

    Report Number
    MW5017911
    Event Type
    Malfunction
    Date Received
    October 21, 2010
    Date of Event
    October 21, 2010
    Report Date
    October 21, 2010
    Product Code
    KOD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN ATTEMPTED 2 FOLEY INSERTIONS AND GUIDE WIRE SNAPPED. ON THIRD INSERTION, GUIDE WIRE WAS REMOVED BEFORE CATHETER INSERTION. NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD PEDIATRIC FOLEY CATHETER KOD NGUF2549

    Patients

    Seq Age Sex Outcome Treatment
    1 Other