TRANSURETHRAL CATHETER 170605

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,07,company representati report with the FDA on 2015-07-21 for TRANSURETHRAL CATHETER 170605 manufactured by Teleflex Medical.

Event Text Entries

[6435553] Alleged event: the funnel was torn after a few days. Catheter was replaced. The patient's condition was reported as fine.
Patient Sequence No: 1, Text Type: D, B5


[14244892] (b)(4). The device sample has not been returned to the manufacturer for investigation at the time of this report. The manufacturer will continue to monitor and trend related events.
Patient Sequence No: 1, Text Type: N, H10


[25530726] (b)(4). The device lot number was not provided; therefore a device history record (dhr) review could not be conducted. Under visual examination, no design abnormality or material degradation were observed on the catheter. However a tear was observed at drainage funnel. Based on additional information, the failure occurred after 3 days of usage. This indicated that the product was able to perform well at the beginning. There are various reasons which could have likely contributed towards torn or broken, funnel. In current standard operating procedure, 100% visual inspection is conducted on the catheter and product is released upon passing this inspection. Based on the investigation conducted, there are various reasons that could cause the funnel to be torn and in current manufacturing process 100% visual inspection is conducted whereby defective product will be culled out. Therefore we are not able to confirm this complaint.
Patient Sequence No: 1, Text Type: N, H10


[25530727] Alleged event: the funnel was torn after a few days. Catheter was replaced. The patient's condition was reported as fine.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8040412-2015-00153
MDR Report Key4929266
Report Source01,05,07,COMPANY REPRESENTATI
Date Received2015-07-21
Date of Report2015-06-23
Date of Event2015-06-23
Date Mfgr Received2015-08-18
Date Added to Maude2015-07-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
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
Manufacturer CityPERAK, WEST MALAYSIA 34600
Manufacturer CountryMY
Manufacturer Postal Code34600
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRANSURETHRAL CATHETER
Generic NameFOLEY CATHETER
Product CodeFGH
Date Received2015-07-21
Returned To Mfg2015-07-06
Catalog Number170605
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer AddressPERAK, WEST MALAYSIA


Patients

Patient NumberTreatmentOutcomeDate
10 2015-07-21

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