FDA Adverse Event
Malfunction
Summary report: N
BARD PROFLEX 200 LASER FIBER
MDR report key: 23019483
·
Received September 10, 2025
Report
- Report Number
- MW5175900
- Event Type
- Malfunction
- Date Received
- September 10, 2025
- Date of Event
- August 14, 2025
- Report Date
- September 8, 2025
- Manufacturer
- C.R. BARD, INC.
- Product Code
- GEX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING A SCHEDULED LASER LITHOTRIPSY PROCEDURE USING A DIGITAL URETEROSCOPE AND BARD PROFLEX 200 LASER FIBER (REF: LSU200PF, LOT #: 09125005, EXP: 04-16-2028), A POPPING NOISE WAS HEARD WHILE THE LASER WAS ENGAGED. DR. REMOVED THE LASER FIBER AND FOUND IT BROKEN. FURTHER INSPECTION REVEALED THE LASER HAD BURNED A HOLE THROUGH THE DISPOSABLE DIGITAL URETEROSCOPE. THE PATIENT WAS NOT HARMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2706864 | BARD PROFLEX 200 LASER FIBER | POWERED LASER SURGICAL INSTRUMENT | GEX | C.R. BARD, INC. | 09125005 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Other |