BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD FOLEY TRAY

    MDR report key: 386069 · Received March 29, 2002

    Report

    Report Number
    MW1024532
    Event Type
    Other
    Date Received
    March 29, 2002
    Date of Event
    March 28, 2002
    Report Date
    March 29, 2002
    Manufacturer
    C.R. BARD, INC.
    Product Code
    KOD
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    EVENT OCCURRED DURING TESTING OF BALLOON. FLUID WENT INTO TUBING DURING TEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD FOLEY TRAY FOLEY CATH KOD C.R. BARD, INC. * 76JLL074

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other