FDA Adverse Event Malfunction Summary report: N

BARDEX ALL-SILLICONE FOLEY CATHETER

MDR report key: 3982969 · Received July 30, 2014

Report

Report Number
3982969
Event Type
Malfunction
Date Received
July 30, 2014
Date of Event
July 3, 2014
Report Date
July 30, 2014
Manufacturer
C.R. BARD, INC
Product Code
EZL
Product Problem
Yes
Report Source
User Facility report
Reporter Location
WI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

BEFORE USE, IT WAS NOTED THAT THIS FOLEY CATHETER HAD A HOLE AT THE JUNCTION OF CONNECTION TO TUBING. TWO CATHETERS WITH SAME LOT NUMBER WERE NOTED TO HAVE THE SAME HOLE IN THE SAME LOCATION. THEY WERE NOT USED ON A PATIENT, SO THERE WAS NO PATIENT HARM.====================== MANUFACTURER RESPONSE FOR BARDEX ALL-SILCONE FOLEY CATHETER, BARDEX (PER SITE REPORTER)======================HAVE REQUESTED PRODUCT FOR ANALYSIS

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
446041 BARDEX ALL-SILLICONE FOLEY CATHETER CATHETER, RETENTION TYPE, BALLOON EZL C.R. BARD, INC * NGXL2449
446042 BARDEX ALL-SILLICONE FOLEY CATHETER CATHETER, RETENTION TYPE, BALLOON EZL C.R. BARD, INC * NGXL2449

Patients

Seq Age Sex Outcome Treatment
1 *