FREEDOM CATH FREEDOM COLOPLAST MALE EXTERNAL CATHETER 8200/8230 2330121

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-09 for FREEDOM CATH FREEDOM COLOPLAST MALE EXTERNAL CATHETER 8200/8230 2330121 manufactured by Coloplast A/s.

Event Text Entries

[5942398] Due to being a quadriplegic, i use the freedom cath. On (b)(4) 2014 when i got up to remove the catheter, it pulled the skin off my penis. I have undergone several surgeries already, and my doctor is now talking about removing a portion of my penis. I have already undergone two surgeries and will need a third.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5043092
MDR Report Key4847606
Date Received2015-06-09
Date of Report2015-06-09
Date of Event2014-11-28
Date Added to Maude2015-06-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameFREEDOM CATH FREEDOM COLOPLAST MALE EXTERNAL CATHETER
Generic NameMALE EXTERNAL CATHETER, 28MM
Product CodeEXJ
Date Received2015-06-09
Catalog Number8200/8230 2330121
Lot Number4002633
OperatorLAY USER/PATIENT
Device Sequence No1
Device Event Key0
ManufacturerCOLOPLAST A/S


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2015-06-09

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