ERASE CAUDI * DYND160116

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-11-15 for ERASE CAUDI * DYND160116 manufactured by Medline Industries, Inc.

Event Text Entries

[3998070] Foley catheter would not inflate - physician had to cut catheter and very slowly deflated. ====================== manufacturer response for foley catheter, foley catheter tray (per site reporter). ====================== thank you for bringing this to our attention.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3513835
MDR Report Key3513835
Date Received2013-11-15
Date of Report2013-11-15
Date of Event2013-11-14
Report Date2013-11-15
Date Reported to FDA2013-11-15
Date Reported to Mfgr2013-12-11
Date Added to Maude2013-12-11
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameERASE CAUDI
Generic NameFOLEY CATHETER
Product CodeNWR
Date Received2013-11-15
Model Number*
Catalog NumberDYND160116
Lot Number13IB4058
ID Number*
OperatorPHYSICIAN
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC
Manufacturer AddressONE MEDLINE PLACE MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
10 2013-11-15

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