MIDSTREAM URINE COLLECTION KIT * 842904

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-07-28 for MIDSTREAM URINE COLLECTION KIT * 842904 manufactured by Bard Medical.

Event Text Entries

[4606657] Urine specimen container in cath kit is unable to tolerate being sent by the pneumatic tube system without frequent leakage due to cap loosening. Purchasing has been working on this, but has been unable to obtain an improved product. When cap loosens, specimen contents are spilled inside the pneumatic tube shuttle, creating a bio hazard exposure and requiring another specimen to be obtained from the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3969951
MDR Report Key3969951
Date Received2014-07-28
Date of Report2014-07-28
Date of Event2014-06-30
Report Date2014-07-28
Date Reported to FDA2014-07-28
Date Reported to Mfgr2014-07-31
Date Added to Maude2014-07-31
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMIDSTREAM URINE COLLECTION KIT
Generic NameURINE COLLECTION KIT (EXCLUDES HIV TESTING)
Product CodeOIE
Date Received2014-07-28
Model Number*
Catalog Number842904
Lot Number*
ID Number*
Device AvailabilityN
Device Age1 DA
Device Sequence No1
Device Event Key0
ManufacturerBARD MEDICAL
Manufacturer Address13183 HARLAND DR COVINGTON GA 30014 US 30014


Patients

Patient NumberTreatmentOutcomeDate
10 2014-07-28

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