FDA Adverse Event Malfunction Summary report: N

MAGIC3¿ INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE

MDR report key: 8842737 · Received July 30, 2019

Report

Report Number
1018233-2019-04335
Event Type
Malfunction
Date Received
July 30, 2019
Report Date
August 15, 2019
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
KOD
UDI-DI
00801741069789
PMA / PMN Number
K000723
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED FOR EVALUATION. A POTENTIAL ROOT CAUSE OF THIS FAILURE MODE COULD BE "OPERATOR ERROR - VISCOMETER OOC - VISCOMETER FAILURE - MECHANICAL FAILURE". THE LOT NUMBER IS UNKNOWN THEREFORE THE DEVICE HISTORY RECORD COULD NOT BE REVIEWED. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: ¿¿ 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. H3 OTHER TEXT : THE DEVICE IS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT SOMETIMES THE CATHETER WAS NOT FULLY "HYDRATED" WHICH RESULTED IN THE PATIENT EXPERIENCING SELF-LIMITED BLEEDING AND DISCOMFORT UPON INSERTION OF THE CATHETER. NO MEDICAL INTERVENTION WAS REPORTED.

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE FILED. THE DEVICE IS NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT SOMETIMES THE CATHETER WAS NOT FULLY "HYDRATED" WHICH RESULTED IN THE PATIENT EXPERIENCING SELF-LIMITED BLEEDING AND DISCOMFORT UPON INSERTION OF THE CATHETER. NO MEDICAL INTERVENTION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
634292 MAGIC3¿ INTERMITTENT CATHETER WITH SURE-GRIP¿ SLEEVE MAGIC 3 CATHETER KOD C.R. BARD, INC. (COVINGTON) -1018233 53616G UNK 00801741069789

Patients

Seq Age Sex Outcome Treatment
1