FDA Adverse Event Malfunction Summary report: N

MAGIC3 GO¿ INTERMITTENT URINARY CATHETER

MDR report key: 8883857 · Received August 12, 2019

Report

Report Number
1018233-2019-04651
Event Type
Malfunction
Date Received
August 12, 2019
Report Date
August 12, 2019
Manufacturer
C.R. BARD, INC. (COVINGTON) -1018233
Product Code
EZD
UDI-DI
00801741097898
PMA / PMN Number
K150345
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

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: "REVIEW THE SELF-CATHETERIZATION PROCEDURE WITH A HEALTHCARE PROFESSIONAL. ALWAYS WASH HANDS PRIOR TO USE. OPEN THE CATHETER PACKAGE BY PEELING THE TAB UPWARDS WITH THE AID OF THE FINGER HOLE. IF DESIRED, HANG THE PACKAGE WITH THE ADHESIVE SURFACE ON THE INNER SIDE OF THE TAB TO A NEARBY DRY VERTICAL SURFACE WHILE PREPARING TO CATHETERIZE. POSITIONED COMFORTABLY WITH THIGHS SPREAD APART, CLEAN THE OPENING TO THE URETHRA ¿ AND THE SURROUNDING AREA. WIPE FROM FRONT TO BACK TO AVOID FECAL CONTAMINATION. WASH YOUR HANDS AGAIN. REMOVE THE CATHETER WITH THE AID OF THE INSERTION HANDLE AND ADVANCE THE CATHETER TIP INTO THE URETHRA. SLOWLY AND GENTLY INSERT THE CATHETER INTO THE URETHRA UNTIL URINE BEGINS TO FLOW (APPROXIMATELY 1-1.5" OR 2.5-3.8 CM). WHEN URINE STOPS FLOWING, BEGIN TO WITHDRAW THE CATHETER. IT IS RECOMMENDED TO SLOWLY ROTATE THE CATHETER DURING WITHDRAWAL, STOPPING EACH TIME URINE BEGINS TO FLOW. CHECK THE COLOR, ODOR AND CLARITY OF THE URINE. ANY CHANGES MAY NEED TO BE REPORTED TO A HEALTH CARE PROFESSIONAL. DISPOSAL PLACE THE CATHETER BACK INTO THE PACKAGE AND DISPOSE IN ACCORDANCE WITH ACCEPTED MEDICAL PRACTICE AND APPLICABLE LOCAL, STATE AND FEDERAL LAWS AND REGULATIONS. DO NOT FLUSH DOWN THE TOILET. WASH HANDS."

Description of Event or Problem · 1

IT WAS REPORTED THAT THE MAGIC 3 CATHETER HAD A LACK OF LUBRICITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
678162 MAGIC3 GO¿ INTERMITTENT URINARY CATHETER MAGIC 3 CATHETER EZD C.R. BARD, INC. (COVINGTON) -1018233 51814 UNK 00801741097898

Patients

Seq Age Sex Outcome Treatment
1