FDA Adverse Event Other Summary report: N

KENDALL DOVER

MDR report key: 651796 · Received December 8, 2005

Report

Report Number
1282497-2005-00030
Event Type
Other
Date Received
December 8, 2005
Date of Event
June 9, 2005
Report Date
June 23, 2005
Manufacturer
TYCO HEALTHCARE/KENDALL
Product Code
EZL
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO TYCO HEALTHCARE IN 2005, THAT A CUSTOMER HAD A PROBLEM WITH A FOLEY CATHETER. THE CUSTOMER ALLEGES THAT THE CATHETER WAS FOUND IN THE PATIENT'S BED TWO HOURS AFTER BEING FITTED; THE BALLON HAD DEFLATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KENDALL DOVER SILICONE FOLEY CATHETER 18FR EZL TYCO HEALTHCARE/KENDALL NA 100402

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other