BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD

    MDR report key: 303427 · Received November 2, 2000

    Report

    Report Number
    303427
    Event Type
    Injury
    Date Received
    November 2, 2000
    Date of Event
    October 13, 2000
    Report Date
    October 19, 2000
    Manufacturer
    CR BARD, QA
    Product Code
    KOD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FOLEY BALLOON DID NOT DEFLATE ALTHOUGH 10CC FLUID IN 10CC SYRINGE AND TUBING WAS COLLAPSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD FOLEY CATHETER KOD CR BARD, QA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Hospitalization| O