FDA Adverse Event Malfunction Summary report: N

BARDIA® COUDE OLIVE TIP URETHRAL FOLEY CATHETER

MDR report key: 20924889 · Received December 13, 2024

Report

Report Number
1018233-2024-07971
Event Type
Malfunction
Date Received
December 13, 2024
Date of Event
November 26, 2024
Report Date
March 4, 2025
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
KOD
UDI-DI
00801741039058
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT WAS UNCONFIRMED. VISUAL EVALUATION OF THE RETURNED SAMPLE NOTED THREE OPENED (WITH ORIGINAL PACKAGING), INTERMITTENT LATEX CATHETER. VISUAL INSPECTION OF THE THREE SAMPLE NOTED ALL THREE CATHETERS WERE MEASURED AT THE CORRECT SIZE OF 16FR. AS INDICATED ON THE PRODUCT PACKAGING. THIS MET SPECIFICATION PER COMPONENT REQUIREMENT: "DIMENSIONS: 5.75¿ X 5.75¿. NO ROOT CAUSE COULD BE FOUND BECAUSE THE REPORTED EVENT WAS UNCONFIRMED. A DHR IS NOT REQUIRED SINCE THE REPORTED FAILURE WAS UNCONFIRMED. AS THE REPORTED EVENT IS UNCONFIRMED A LABELING REVIEW IS NOT REQUIRED. CORRECTION: D, E, H. UDI FORMAT UPDATED WITH AVAILABLE PRODUCT INFORMATION PER GUDID. 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.

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. UDI FORMAT UPDATED WITH AVAILABLE PRODUCT INFORMATION PER GUDID. 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 PRODUCT WAS MISLABELED. PATIENT ORDERED 16 FRENCH, WHICH WAS INDICATED ON BOX BUT WHEN OPENED SAW THAT THE CATHETER WAS 14 FRENCH. PER CUSTOMER FOLLOW UP ON 03DEC2024, IT WAS REPORTED THAT CUSTOMER ORDERED 180 16FR URETHRAL CATHETERS FROM (B)(6). WHEN THEY RECEIVED THE ORDER, THEY NOTICED THAT THE CATHETERS WERE VISIBLY SMALLER AND STATED THE SIZE INSIDE THE PACKAGING IS 14FR, AND NOT THE 16FR THAT THEY ORDERED. CUSTOMER REACHED OUT TO (B)(6) AND WAS TOLD THAT THE COMPANY WOULD NOT REPLACE THE CATHETERS OR REIMBURSE THEM. CUSTOMER WAS ADVISED TO REACH OUT TO THE BD CLAIMS DEPARTMENT TO PROCEED FURTHER WITH A CLAIM. NO INJURY OR HARM WAS REPORTED. PER SAMPLE FORM RECEIVED ON 06JAN2025, IT WAS REPORTED THAT THE CATHETER 802516 WITH LOT#NGFZ2474 WAS THE CORRECT SIZE AND WORKED WELL. THE CATHETER 802516 WITH LOT#NGJT0580 WAS SMALLER AND MORE FLEXIBLE AND DID NOT WORK AT ALL. IT KINKED UP WHEN INTRODUCED INTO THE URETHRAL AND WOULD NOT ENTER THE BLADDER.

Description of Event or Problem · 0

IT WAS REPORTED THAT PRODUCT WAS MISLABELED. PATIENT ORDERED 16 FRENCH, WHICH WAS INDICATED ON BOX BUT WHEN OPENED SAW THAT THE CATHETER WAS 14 FRENCH. PER CUSTOMER FOLLOW UP ON 03DEC2024, IT WAS REPORTED THAT CUSTOMER ORDERED 180 16FR URETHRAL CATHETERS FROM EDGEPARK. WHEN THEY RECEIVED THE ORDER, THEY NOTICED THAT THE CATHETERS WERE VISIBLY SMALLER AND STATED THE SIZE INSIDE THE PACKAGING IS 14FR, AND NOT THE 16FR THAT THEY ORDERED. CUSTOMER REACHED OUT TO EDGEPARK AND WAS TOLD THAT THE COMPANY WOULD NOT REPLACE THE CATHETERS OR REIMBURSE THEM. CUSTOMER WAS ADVISED TO REACH OUT TO THE BD CLAIMS DEPARTMENT TO PROCEED FURTHER WITH A CLAIM. NO INJURY OR HARM WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2413623 BARDIA® COUDE OLIVE TIP URETHRAL FOLEY CATHETER URETHRAL CATHETER KOD C.R. BARD, INC. (COVINGTON) -1018233 NGJT0580 00801741039058

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other