BARDEX® LUBRI-SIL® I.C. ALL-SILICONE FOLEY CATHETER
Report
- Report Number
- 1018233-2025-10960
- Event Type
- Malfunction
- Date Received
- December 10, 2025
- Date of Event
- November 18, 2025
- Report Date
- February 5, 2026
- Manufacturer
- C.R. BARD INC. (COVINGTON) -1018233
- Product Code
- MJC
- UDI-DI
- 00801741025211
- PMA / PMN Number
- K984136
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE INITIAL REPORTER'S FACILITY NAME: IYO HOSPITAL, MEDICAL CORPORATION FOUNDATION SHOONKAI. THE REPORTED EVENT WAS INCONCLUSIVE BECAUSE THIS INVESTIGATION DID NOT RESULT IN ANY ADDITIONAL FINDINGS AND NO SAMPLE WAS AVAILABLE FOR EVALUATION. THE REPORTED EVENT IS ADDRESSED WITHIN THE LABELING AS IT STATES, CONTRAINDICATIONS: (4) BE CAREFUL THAT THE CATHETER IS NOT EXPOSED TO OINTMENTS, CONTRAST MEDIUM OR OIL-BASED LUBRICANTS (INCLUDING VEGETABLE OILS SUCH AS OLIVE OIL, MINERAL OILS SUCH AS WHITE PETROLATUM AND ANIMAL OILS). THEY MAY DAMAGE THE DEVICE AND MAY BURST BALLOON. DIRECTIONS FOR USE: (3) CAREFULLY INSERT THE CATHETER INTO THE URETHRAL MEATUS. AFTER THE BALLOON ADVANCED IN THE BLADDER, ATTACH THE NEEDLELESS SYRINGE, AND GENTLY INFUSE THE SPECIFIED VOLUME OF STERILE WATER TO INFLATE THE BALLOON. PRECAUTIONS FOR USE: (6) INSERT CATHETER INTO THE URETHRAL MEATUS AND ADVANCE IT UNTIL THE BALLOON ENTERS THE BLADDER AND URINE FLOWS OUT THROUGH THE CATHETER. USING A SYRINGE PACKAGED IN THE TRAY, INFUSE THE SPECIFIED VOLUME OF STERILE WATER INTO THE INFLATION LUMEN TO INFLATE THE BALLOON. (FIG. 5). (12) WHEN RESISTANCE IS ENCOUNTERED IN INSERTING CATHETER, STOP THE PROCEDURE AND REMOVE THE CATHETER. (13) WHEN DEFLATING BALLOON, DO NOT ASPIRATE WITH A SYRINGE BY HANDS. THE INFLATION LUMEN FOR BALLOON DEFLATION MAY BE OCCLUDED BY NEGATIVE PRESSURE, AND AS A RESULT THE CATHETER CANNOT BE REMOVED. (20) DO NOT ASPIRATE URINE THROUGH DRAINAGE FUNNEL WALL. THE DHR REVIEW COULD NOT BE PERFORMED WITHOUT A LOT NUMBER. NO ADDITIONAL ACTIONS CAN BE TAKEN AT THIS TIME. CORRECTIONS: D, F, H: THIS REPORT REFERENCES A US EQUIVALENT DEVICE. THE US UDI EQUIVALENT FOR THIS PRODUCT NUMBER IS USED. H11: SECTIONS 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.
THE COMPLETE INITIAL REPORTER'S FACILITY NAME: (B)(6). THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THIS REPORT REFERENCES A US EQUIVALENT DEVICE. THE US UDI EQUIVALENT FOR THIS PRODUCT NUMBER IS USED. H11: SECTIONS 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.
IT WAS REPORTED THAT THERE WAS A WATER LEAK FROM THE FUNNEL.
IT WAS REPORTED THAT THERE WAS A WATER LEAK FROM THE FUNNEL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 568200 | BARDEX® LUBRI-SIL® I.C. ALL-SILICONE FOLEY CATHETER | FOLEY CATHETER | MJC | C.R. BARD INC. (COVINGTON) -1018233 | UNK | 00801741025211 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |