LUBRICATH A800361

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-09-08 for LUBRICATH A800361 manufactured by Cr Bard.

Event Text Entries

[54204397]
Patient Sequence No: 1, Text Type: N, H10


[54204398] Foley catheter inserted per order, urine immediately starting leaking from connection between 16fr catheter and bag. Leaking bag removed and replaced by another bag. Additionally, l&d unit had three other foley tray kits leak at the catheter insert. Manufacturer response for urinary catheter, (brand not provided) (per site reporter): submitting the issue to bard field assurance and someone will be in touch. Red-bag, pre-paid shipping label and return box being sent.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5935658
MDR Report Key5935658
Date Received2016-09-08
Date of Report2016-08-26
Date of Event2016-08-18
Report Date2016-08-26
Date Reported to FDA2016-08-26
Date Reported to Mfgr2016-08-26
Date Added to Maude2016-09-08
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLUBRICATH
Generic NameCATHETER, URINARY, KIT
Product CodeNWR
Date Received2016-09-08
Catalog NumberA800361
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCR BARD
Manufacturer Address8195 INDUSTRIAL BLVD COVINGTON GA 30014 US 30014


Patients

Patient NumberTreatmentOutcomeDate
10 2016-09-08

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