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