SILICONE MALE EXTERNAL CATHETER 6200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 1998-03-03 for SILICONE MALE EXTERNAL CATHETER 6200 manufactured by Mentor Urology, Inc..

Event Text Entries

[17487654] As reported to co by the pt, the last batch of catheters "is too sticky... Ends up taking off skin. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2183558-1998-00009
MDR Report Key153705
Report Source04
Date Received1998-03-03
Date of Report1998-02-03
Date Mfgr Received1998-02-03
Device Manufacturer Date1997-09-01
Date Added to Maude1998-03-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSILICONE MALE EXTERNAL CATHETER
Generic NameCATHETER
Product CodeEXJ
Date Received1998-03-03
Returned To Mfg1998-02-20
Model NumberNA
Catalog Number6200
Lot Number5656
ID NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Age1 YR
Device Eval'ed by MfgrN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key149733
ManufacturerMENTOR UROLOGY, INC.
Manufacturer Address1499 WEST RIVER RD NORTH MINNEAPOLIS MN 55411 US
Baseline Brand NameSILICONE MALE EXTERNAL CATHETER
Baseline Generic NameCATHETER
Baseline Model NoNA
Baseline Catalog No6200
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1998-03-03

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