BARD 5CC ECONOMY LUBRICATH LATEX FOLEY CATHETER WITH 5CC BALLOON
Report
- Report Number
- 1018233-2016-01757
- Event Type
- Malfunction
- Date Received
- December 6, 2016
- Date of Event
- November 18, 2016
- Report Date
- April 13, 2017
- Manufacturer
- BARD SDN. BHD. -8040607
- Product Code
- EZC
- PMA / PMN Number
- K910846
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD.
SAMPLE WAS EVALUATED AND NO PINCH OR BLOCKAGE OBSERVED. ABLE TO INTRODUCE WATER IN ALL RETURNED PIECES. NO CONDITIONS FOUND ON SAMPLE THAT COULD BE ASSOCIATED WITH REPORTED EVENT. DUE TO POOR CONDITION OF THE RETURNED SAMPLE, A COMPLETE EVALUATION COULD NOT BE PERFORMED. OBSERVED SALT ACCUMULATION. THE DEVICE HISTORY RECORD WAS REVIEWED AND FOUND NOTHING THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. THE INSTRUCTIONS FOR USE STATE THE FOLLOWING: "TO DEFLATE CATHETER BALLOON: GENTLY INSERT A SYRINGE IN THE CATHETER VALVE. NEVER USE MORE FORCE THAN IS REQUIRED TO MAKE THE SYRINGE "STICK" IN THE VALVE. IF YOU NOTICE SLOW OR NO DEFLATION, RE-SEAT THE SYRINGE GENTLY. USE ONLY GENTLE ASPIRATION TO ENCOURAGE DEFLATION IF NEEDED. VIGOROUS ASPIRATION MAY COLLAPSE THE INFLATION LUMEN, PREVENTING BALLOON DEFLATION. IF PERMITTED BY HOSPITAL PROTOCOL, THE VALVE ARM MAY BE SEVERED. IF THIS FAILS, CONTACT AND ADEQUATELY TRAINED PROFESSIONAL FOR ASSISTANCE, AS DIRECTED BY HOSPITAL PROTOCOL." (B)(4). THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD.
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD.
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE FILED.
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD.
THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD.
IT WAS REPORTED THAT, DURING A PRE-TEST, THE BALLOON ALLEGEDLY WOULD NOT DEFLATE. THE SYRINGE WAS CLEARLY MARKED ¿FOR INFLATION ONLY¿.
IT WAS REPORTED THAT, DURING A PRE-TEST, THE BALLOON ALLEGEDLY WOULD NOT DEFLATE. THE SYRINGE WAS CLEARLY MARKED ¿FOR INFLATION ONLY¿.
IT WAS REPORTED THAT, DURING A PRE-TEST, THE BALLOON WOULD NOT DEFLATE. THE BALLOON WOULD NOT DEFLATE AFTER THE BALLOON WAS "TEST INFLATED". THE SYRINGE WAS CLEARLY MARKED ¿FOR INFLATION ONLY¿.
IT WAS REPORTED THAT, DURING A PRE-TEST, THE BALLOON WOULD NOT DEFLATE. THE BALLOON WOULD NOT DEFLATE AFTER THE BALLOON WAS "TEST INFLATED". THE SYRINGE WAS CLEARLY MARKED ¿FOR INFLATION ONLY¿.
IT WAS REPORTED THAT, DURING A PRE-TEST, THE BALLOON ALLEGEDLY WOULD NOT DEFLATE. THE SYRINGE WAS CLEARLY MARKED ¿FOR INFLATION ONLY¿.
IT WAS REPORTED THAT, DURING A PRE-TEST, THE BALLOON ALLEGEDLY WOULD NOT DEFLATE. THE SYRINGE WAS CLEARLY MARKED ¿FOR INFLATION ONLY¿.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 798310 | BARD 5CC ECONOMY LUBRICATH LATEX FOLEY CATHETER WITH 5CC BALLOON | CATHETER | EZC | BARD SDN. BHD. -8040607 | 6AJ7055 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |