BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URINARY CATHETER

    MDR report key: 35123 · Received July 19, 1996

    Report

    Report Number
    35123
    Event Type
    Injury
    Date Received
    July 19, 1996
    Date of Event
    January 12, 1996
    Report Date
    July 16, 1996
    Manufacturer
    BARD UROL DIV. C.R. BARD, INC.
    Product Code
    KOD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    URINARY CATHETER FOUND SEVERED IN AN ELDERLY, DISORIENTED MALE. SUBSEQUENT CYSTOSCOPY PERFORMED TO REMOVE BALLOON AND TIP OF CATHETER. PT ALSO REQUIRED ANESTHESIA FOR PROCEDURE. PT RECOVERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 URINARY CATHETER URINARY DRAINAGE DEVICE KOD BARD UROL DIV. C.R. BARD, INC. UNKNOWN HZ540

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Required Intervention