FDA Adverse Event
Malfunction
Summary report: N
UNKNOWN DILATION PRODUCTS
MDR report key: 25037120
·
Received April 29, 2026
Report
- Report Number
- 1018233-2026-02734
- Event Type
- Malfunction
- Date Received
- April 29, 2026
- Date of Event
- April 23, 2026
- Report Date
- May 8, 2026
- Manufacturer
- C.R. BARD INC. (COVINGTON) -1018233
- Product Code
- FBW
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE REPORTED PRODUCT NUMBER IS UNKNOWN. THE UDI NUMBER FOR THIS PRODUCT IS NOT AVAILABLE. 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.
Description of Event or Problem · 0
IT WAS REPORTED BY CRITICAL CARE NURSES IN AN ONLINE SURVEY THAT NO THE PATIENT WAS NOT STONE FREE AT PROCEDURE COMPLETION. IN RELATION TO X FORCE NEPHROSTOMY BALLOON DILATION CATHETER WITHOUT EAGLE INFLATION DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 37081 | UNKNOWN DILATION PRODUCTS | DILATION PRODUCT | FBW | C.R. BARD INC. (COVINGTON) -1018233 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |