RUSCH GOLD FOLEY CATHATHETER MEDICAL UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2015-05-27 for RUSCH GOLD FOLEY CATHATHETER MEDICAL UNKNOWN manufactured by Teleflex Medical.

Event Text Entries

[5915937] Alleged event: the foley catheter did not deflate after two attempts. Water came out but the balloon remained inflated. The patient's condition was reported as unk.
Patient Sequence No: 1, Text Type: D, B5


[13338340] Qn#: (b)(4). The device sample has not been returned to the mfr for investigation at the time of this report. The mfr will continue to monitor and trend related events.
Patient Sequence No: 1, Text Type: N, H10


[25533188] (b)(4). There was no complaint device returned for investigation. No catalogue number was provided. Therefore no physical assessment could be conducted. Review of current manufacturing process, all foley catheters undergoes 100% inspection, inflation, deflation and 30 minutes leak test prior to packaging. Any defective product will be culled out during this process. However, in the absence of returned sample and limited information available on this complaint, further investigation could not be conducted and therefore complaint is not confirmed.
Patient Sequence No: 1, Text Type: N, H10


[25533189] Alleged event: the foley catheter did not deflate after two attempts. Water came out but the balloon remained inflated. The patient's condition was reported as unknown.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8040412-2015-00123
MDR Report Key4801693
Report Source07
Date Received2015-05-27
Date of Report2015-05-06
Date of Event2015-05-06
Date Mfgr Received2015-07-01
Date Added to Maude2015-06-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJASMINE BROWN
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal27560
Manufacturer Phone9193614124
Manufacturer G1TELEFLEX MEDICAL
Manufacturer StreetPO BOX 28, KAMUNTING INDUSTRIAL ESTATE INDUSTRIAL ESTATE, KAMUNTING
Manufacturer CityPERAK, WEST MALAYSIA 34600
Manufacturer CountryMY
Manufacturer Postal Code34600
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRUSCH GOLD FOLEY CATHATHETER
Generic NameFOLEY CATHETER
Product CodeFGH
Date Received2015-05-27
Catalog NumberMEDICAL UNKNOWN
ID Number20013234
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer AddressPERAK, WEST MALAYSIA MY


Patients

Patient NumberTreatmentOutcomeDate
10 2015-05-27

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