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 |