FDA Adverse Event Malfunction Summary report: N

BARDEX INFECTION CONTROL 400 SERIES TEMP-SENSING FOLEY CATHE

MDR report key: 2900923 · Received November 30, 2012

Report

Report Number
2900923
Event Type
Malfunction
Date Received
November 30, 2012
Date of Event
November 10, 2012
Report Date
November 21, 2012
Manufacturer
C.R. BARD, INC.
Product Code
KOD
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MN, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

THE PATIENT HAD A FOLEY CATHETER INSERTED EARLY A.M. WITH SOME URINE OUTPUT RECORDED DURING THE FIRST FEW HOURS OF PLACEMENT. LATER THE NURSE NOTED THAT THE PATIENT HAD A DISTENDED ABDOMEN. THE PATIENT HAD NO URINE OUTPUT IN THE FOLEY CATHETER. PATIENT'S BLOOD PRESSURE/PULSE HAD ELEVATED. THE PATIENT'S BLADDER WAS SCANNED FOR > 999 ML. A NEW FOLEY WAS PLACED FOR AN IMMEDIATE RETURN OF 1200 ML CLEAR YELLOW URINE. THE PATIENT'S VITAL SIGNS WERE STABILIZED AND THE PATIENT'S ABDOMEN WAS SOFT AND NON-DISTENDED. NO VISIBLE DEFECTS WERE NOTED IN THE FOLEY CATHETER AND IT WAS NOT SAVED. NO ADVERSE EFFECTS TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BARDEX INFECTION CONTROL 400 SERIES TEMP-SENSING FOLEY CATHE CATHETER KOD C.R. BARD, INC. * FY2224

Patients

Seq Age Sex Outcome Treatment
1 31 YR