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 | * |