BEUDAMED
    FDA Adverse Event Other Summary report: N

    NA

    MDR report key: 471352 · Received July 11, 2003

    Report

    Report Number
    MW1028952
    Event Type
    Other
    Date Received
    July 11, 2003
    Date of Event
    May 17, 2003
    Report Date
    July 11, 2003
    Manufacturer
    NA
    Product Code
    KOD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ME, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT HAS USED INDWELLING FOLEY CATHETER FOR A LONG TIME. PT NOTED TO HAVE TRAUMATIC AND CHRONIC HYPOSPADIAS. CATHETER ENTERS PENIS AT BASE NOT THE TIP. URINE CULTURE POSITIVE-KLEBSIELLA. FELT TO HAVE HAD TRAUMATIC URETHRAL DISSECTION SOMETIME PRIOR TO THIS ADMISSION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA INDWELLING FOLEY CATHETER KOD NA NA *

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other