FDA Adverse Event Injury Summary report: N

MEDLINE 16 FR SILICONE FOLEY CATHETER

MDR report key: 22873398 · Received August 22, 2025

Report

Report Number
MW5175115
Event Type
Injury
Date Received
August 22, 2025
Date of Event
August 14, 2025
Report Date
August 15, 2025
Manufacturer
MEDLINE INDUSTRIES, LP - SPT
Product Code
PPB
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
OH, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

FOLEY CATHETER BALLOON RUPTURE WHILE IN PATIENT. A SECOND FOLEY CATHETER OF THE SAME MANUFACTURER AND LOT NUMBER WAS TESTED FOR PROPER INFLATION (NOT IN A PATIENT) AND THE BALLOON RUPTURED AGAIN AFTER APPROXIMATELY 5ML OF SALINE WAS INJECTED INTO THE BALLOON. DEVICE CODE: 1546. PATIENT CODE: 4580. REFERENCE REPORT# MW5175114.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2871937 MEDLINE 16 FR SILICONE FOLEY CATHETER FOLEY CATHETER KIT (EXCLUDES HIV TESTING) PPB MEDLINE INDUSTRIES, LP - SPT 25DBT548

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Required Intervention| H