FDA Adverse Event Other Summary report: N

GENTLECATH INTERMITTENT URINARY CATHETER

MDR report key: 3032603 · Received April 1, 2013

Report

Report Number
3005778470-2013-00014
Event Type
Other
Date Received
April 1, 2013
Date of Event
March 1, 2013
Report Date
March 6, 2013
Manufacturer
CONVATEC
Product Code
KOD
PMA / PMN Number
K896729
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ADVERSE EVENT 'BLEEDING PER URETHRA AFTER CATHETERIZATION' IS DEEMED SERIOUS AS IT MAY REQUIRE A SURGICAL OR MEDICAL INTERVENTION TO PRECLUDE A MORE SERIOUS CONSEQUENCE FOR THE PT. FROM A CLINICAL PERSPECTIVE, A CAUSAL RELATIONSHIP BETWEEN THE CATHETER AND THE EVENT IS DEEMED POSSIBLE BECAUSE PRODUCT USE IS TEMPORALLY ASSOCIATED WITH THE PART OF THE BODY WHERE THE PROBLEM OCCURRED. DUE TO THE LOT NUMBER COULD NOT BE OBTAINED FROM THE CUSTOMER WE HAVE DECIDED TO CHECK ALL TIEMANN GENTLE CATHETERS LOTS WHICH HAVE BEEN PRODUCED SO FAR. ASSOCIATED LOT NUMBERS FOR REF CODE 501011 ARE 452906, 452907, 452908, 459681; FOR REF CODE 501012 ARE 452909, 452910, 452911, 459690; FOR REF CODE 501013 ARE 452912, 452913, 452914, 459682; FOR REF CODE 501014 ARE 452921, 452922, 452923, 459683; FOR REF CODE 501015 ARE 452915, 452916, 452917, 459691; FOR REF CODE 501016 ARE 452918, 452919, 452920, 453129. THE INVESTIGATION OF HISTORY BATCH RECORDS WAS PERFORMED AND NO NONCONFORMITY WAS RECORDED DURING THE MANUFACTURING PROCESS. ALL RELEVANT TESTS REQUIRED DURING MANUFACTURING PROCESS AND FINAL PRODUCT RELEASES WERE PERFORMED AND MET REQUIREMENTS. THE PRODUCTS WERE PRODUCED IN ACCORDANCE WITH VALID SPECIFICATION. THE SAMPLES WERE TESTED AND THE SAMPLES MET SPECIFICATION. REPORTED TO THE FDA ON (B)(4) 2013.

Description of Event or Problem · 1

COMPLAINT RECEIVED AS FOLLOWS: (B)(4) CUSTOMER CONTACTED BY REPRESENTATIVE FROM 180 MEDICAL. CUSTOMER IS UNABLE TO USE GENTLE TOUCH CATHETERS BECAUSE THEY CAUSED BLEEDING. ADDITIONAL INFORMATION PROVIDED BY (B)(4) CENTER ON (B)(4) 2013: WIFE REPORTING HUSBAND AFTER USING THE STRAIGHT CATHETER SWITCHED, TO THE COUDE AND CONTINUED TO FEEL DISCOMFORT AND IRRITATION AS HE PROCEEDED THE CATHETER THROUGH THE URETHRA. HE WOULD EXPERIENCE THE SAME DISCOMFORT UPON REMOVAL. HE TRIED USING SURGICAL BUT WITH NO RELIEF. A FEW TIMES HE DID OBSERVE A FEW DROPS OF BLOOD UPON REMOVAL. HE HAS DISCONTINUED THE PRODUCT AND RETURNED TO HIS PREVIOUS PRODUCT. MED HISTORY: BPH, HTN. ALLERGIES: DUST, MOLD. MEDS: FINASTERIDE, LISINIPRIL, CRESTOR. (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
132569 GENTLECATH INTERMITTENT URINARY CATHETER CATHETER, UROLOGICAL KOD CONVATEC 501014 UNK

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening