BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FOLEY CATHETER

    MDR report key: 655857 · Received December 21, 2005

    Report

    Report Number
    MW1037264
    Event Type
    Injury
    Date Received
    December 21, 2005
    Date of Event
    September 19, 2005
    Report Date
    December 21, 2005
    Manufacturer
    BARD - DISTRIBUTOR MCKESSON CEN MEDICAL
    Product Code
    KOD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    BALLOON ON FOLEY BURSTED WHILE IN PT. ALL PIECES APPEARED TO BE ACCOUNTED FOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FOLEY CATHETER FOLEY CATHETER KOD BARD - DISTRIBUTOR MCKESSON CEN MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Disability