FDA Adverse Event Injury Summary report: N

BARD FOLEY CATHETER

MDR report key: 6053817 · Received October 21, 2016

Report

Report Number
MW5065591
Event Type
Injury
Date Received
October 21, 2016
Date of Event
October 20, 2016
Report Date
October 21, 2016
Manufacturer
BARD MEDICAL DIVISION
Product Code
EZL
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

FOLEY CATHETER LEAKING URINE. BALLOON CHECKED AND ONLY 5CC OF SALINE WAS FOUND. CATHETER REMOVED AND A NEW ONE REINSERTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
700554 BARD FOLEY CATHETER FOLEY CATHETER EZL BARD MEDICAL DIVISION

Patients

Seq Age Sex Outcome Treatment
1 67 YR Required Intervention