FDA Adverse Event Other Summary report: N

LATEX FOLEY CATHETER

MDR report key: 4567616 · Received February 27, 2015

Report

Report Number
1018233-2015-00066
Event Type
Other
Date Received
February 27, 2015
Date of Event
February 4, 2015
Report Date
February 6, 2015
Manufacturer
C.R. BARD, INC. (MONCKS)
Product Code
EZC
PMA / PMN Number
K910846
Report Source
Manufacturer report
Reporter Location
MT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BALLOON WAS INFLATED WHILE IN THE PT'S URETHRA. THE UROLOGIST WAS CALLED TO DO A CYSTOSCOPY TO INSERT THE FOLEY CATHETER. THE PT WOULD HAVE HAD FOLEY REMOVED POST OPERATIVE ON DAY #1, HOWEVER, HAD TO BE DISCHARGED HOME WITH THE FOLEY CATHETER WITH AN ANTICIPATED INDWELLING TIME OF 5-6 DAYS; F/U WILL TAKE PLACE ON AN OUTPUT BASIS WITH THE UROLOGY OFFICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
140838 LATEX FOLEY CATHETER EZC C.R. BARD, INC. (MONCKS) NA UNK

Patients

Seq Age Sex Outcome Treatment
1