BEUDAMED
    FDA Adverse Event Other Summary report: N

    KENDALL DOVER

    MDR report key: 691130 · Received March 22, 2006

    Report

    Report Number
    1282497-2006-00012
    Event Type
    Other
    Date Received
    March 22, 2006
    Date of Event
    February 3, 2006
    Report Date
    February 7, 2006
    Manufacturer
    TYCO HEALTHCARE/KENDALL
    Product Code
    EZL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON FEBRUARY7, 2006 THAT A CUSTOMER HAD A PROBLEM WITH A FOLEY CATHETER. THE CUSTOMER STATES THAT A CATHETER WAS INSERTED INTO A MALE PT IN THE EMERGENCY DEPT- 101ML WAS INSERTED INTO BALLOON AND WITHIN 2 HRS, THE CATHETER WAS FOUND IN BED AND BALLOON HAD BURST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KENDALL DOVER 14FR SILICONE CATHETER, 5CC, 2-WAY EZL TYCO HEALTHCARE/KENDALL NA 5259283

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other