* DYND11708

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-12-18 for * DYND11708 manufactured by Medline Industries, Inc..

Event Text Entries

[5289674] Stylet was not removed from 8fr urinary catheter following insertion. Patient was subsequently transferred for pediatric trauma services and reported penile discomfort. On exam the retained stylet was noted within the lumen of the catheter and removed. There was no patient harm. Rn who inserted catheter prior to transfer confirmed easy catheter insertion with immediate urine return and explained that they were not aware that there was a stylet pre-inserted in this catheter. Product packaging reviewed and description does not include information about stylet.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4377195
MDR Report Key4377195
Date Received2014-12-18
Date of Report2014-12-18
Date of Event2014-10-31
Report Date2014-12-18
Date Reported to FDA2014-12-18
Date Reported to Mfgr2015-01-02
Date Added to Maude2015-01-02
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameFOLEY CATHETER
Product CodeNWR
Date Received2014-12-18
Model Number*
Catalog NumberDYND11708
Lot Number1012022340
ID Number*
OperatorNURSE
Device AvailabilityN
Device Age1 DA
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressONE MEDLINE PLACE MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
10 2014-12-18

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