FDA Adverse Event Malfunction Summary report: N

MAGIC3¿ COUDE INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE

MDR report key: 8663220 · Received June 3, 2019

Report

Report Number
1018233-2019-02874
Event Type
Malfunction
Date Received
June 3, 2019
Report Date
July 30, 2019
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
KOD
UDI-DI
00801741068072
PMA / PMN Number
K000723
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT WAS UNCONFIRMED. VISUAL INSPECTION NOTED 1 USED COUDE INTERMITTENT CATHETER WAS RECEIVED. VISUAL EVALUATION NOTED NO OBVIOUS DEFECTS. THE CATHETER'S OUTER DIAMETER MEASURED TO BE 0.1565" WHICH WAS FOUND TO BE WITHIN SPECIFICATION (0.157" +/- 0.013"). THE DEVICE HISTORY RECORD WAS REVIEWED AND FOUND NOTHING THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: "INTENDED USE: ¿ THE CATHETER IS INTENDED FOR URINARY BLADDER DRAINAGE IN PATIENTS REQUIRING CATHETERIZATION FOR MANAGEMENT OF INCONTINENCE, VOIDING DYSFUNCTION, AND SURGICAL PROCEDURES. PLEASE CONTACT YOUR PHYSICIAN TO DETERMINE WHICH PRODUCT OPTIONS ARE BEST FOR YOU, PAYING CLOSE ATTENTION TO PRODUCT WARNINGS/ PRECAUTIONS AND ADVERSE REACTIONS. ¿ WASH YOUR HANDS THOROUGHLY WITH SOAP AND WATER. ¿ RELEASE THE STERILE WATER FROM THE FOIL PACKET. ¿ TIP THE CATHETER POUCH END-TO-END THREE TO SIX TIMES SO THE WATER MOVES BACK AND FORTH TO THOROUGHLY WET THE CATHETER SURFACE. ¿ PEEL OPEN THE PACK AT THE FUNNEL END JUST ENOUGH TO EXPOSE THE INSERTION SLEEVE. DON¿T REMOVE THE CATHETER YET. USE THE ADHESIVE TAB AT THE FUNNEL END OF THE PACK TO STICK THE PACK TO A NEARBY VERTICAL SURFACE WHILE PREPARING TO CATHETERIZE. ¿ WASH THE AREA AROUND THE MEATUS BEFORE CATHETERIZING. ¿ WASH YOUR HANDS AGAIN. HOLD THE INSERTION SLEEVE WITH YOUR DOMINANT HAND AND SQUEEZE IT TO GRIP THE CATHETER SHAFT AS YOU REMOVE THE CATHETER FROM THE PACK. ¿ NEXT, HOLD THE CATHETER FUNNEL ABOVE THE INSERTION SLEEVE WITH YOUR OTHER HAND AND SLIDE THE INSERTION SLEEVE DOWN THE SHAFT, STOPPING AT ABOUT 6¿ FROM THE TIP. RELEASE THE FUNNEL. ¿ USING THE INSERTION SLEEVE TO HOLD THE CATHETER FIRMLY, GENTLY PASS THE TIP OF THE CATHETER INTO YOUR URETHRA UNTIL THE INSERTION SLEEVE NEARS THE MEATUS. REPEAT UNTIL URINE STARTS TO FLOW. ¿ TRY TO KEEP THE CATHETER STEADY UNTIL URINE STOPS FLOWING. WHEN URINE STOPS FLOWING, SLOWLY WITHDRAW THE CATHETER, STOPPING IF FLOW STARTS AGAIN, UNTIL THE LAST FEW DROPS HAVE DRAINED. ¿ FINISH BY DISPOSING OF THE CATHETER AND ITS PACKAGING. WASH YOUR HANDS WITH SOAP AND WATER. WARNING: ¿ THIS IS A SINGLE USE DEVICE. DO NOT REUSE. REUSE OF A SINGLE USE DEVICE INCREASES THE RISK OF CATHETER ACQUIRED URINARY TRACT INFECTIONS. ¿ URETHRAL CATHETER FOR UROLOGICAL USE ONLY. DISCARD AFTER USE. MADE OF SILICONE ELASTOMER." H11:SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD 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 BD.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DIAMETER VARIED THROUGHOUT THE LENGTH OF THE CATHETER. THE PATIENT REPORTEDLY ATTEMPTED TO USE THE CATHETER BUT WAS UNABLE TO. IT WAS LATER REPORTED PER ADDITIONAL INFORMATION RECEIVED FROM THE CUSTOMER VIA PHONE ON 20MAY2019, THE DIAMETER AT THE TIP OF THE CATHETER WAS A LOT THINNER THAN USUAL WHICH ALLEGEDLY CAUSED IT TO "COLLAPSE" WHEN ATTEMPTING TO INSERT.

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DIAMETER VARIED THROUGHOUT THE LENGTH OF THE CATHETER. THE PATIENT REPORTEDLY ATTEMPTED TO USE THE CATHETER BUT WAS UNABLE TO. IT WAS LATER REPORTED PER ADDITIONAL INFORMATION RECEIVED FROM THE CUSTOMER VIA PHONE ON 20MAY2019, THE DIAMETER AT THE TIP OF THE CATHETER WAS A LOT THINNER THAN USUAL WHICH ALLEGEDLY CAUSED IT TO "COLLAPSE" WHEN ATTEMPTING TO INSERT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
454997 MAGIC3¿ COUDE INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE MAGIC 3 COUDE CATHETER KOD C.R. BARD, INC. (COVINGTON) -1018233 50612 JUCR0140 00801741068072

Patients

Seq Age Sex Outcome Treatment
1