FOLEY CATHETER * UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-06-06 for FOLEY CATHETER * UNKNOWN manufactured by C.r. Bard Inc..

Event Text Entries

[16545865] At 9 am patient assessment, it was noted that there was an indention along the patient's scrotum where catheter tubing was secured. Moved catheter to other leg with slack in tubing. At 11 am noted no urine output since moving tube and significant increase in penile swelling. Resident and fellow to beside to assess. Per fellow, rn deflated balloon on foley, large amount of urine output noted. Upon re-inflating balloon, bleeding from insertion site at penis noted. Balloon immediately deflated. Urology to bedside to assess. Urology recommended advancing catheter then re inflating balloon with 3ml. Two rn's advanced catheter as sterilly as possible. When attempting to re inflate balloon, balloon was noted to be defective. Resident attempted to replace foley without success. After multiple attempts 6fr foley was placed with no urine output. Md then deflated balloon, large amount of blood came out of foley. Urologist then removed the 6 fr foley and successfully had the 6 fr foley replaced. Patient's urine has cleared and no additional reports of problems with foley's.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3904488
MDR Report Key3904488
Date Received2014-06-06
Date of Report2014-06-06
Date of Event2014-04-30
Report Date2014-06-06
Date Reported to FDA2014-06-06
Date Reported to Mfgr2014-07-01
Date Added to Maude2014-07-01
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 NameFOLEY CATHETER
Generic NameKIT, CATHETER, URINARY
Product CodeFCN
Date Received2014-06-06
Model Number*
Catalog NumberUNKNOWN
Lot Number*
ID Number*
OperatorPHYSICIAN
Device AvailabilityN
Device Age1 DA
Device Sequence No1
Device Event Key0
ManufacturerC.R. BARD INC.
Manufacturer Address730 CENTRAL AVE. MURRAY HILL NJ 07974 US 07974


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-06

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