FEMALE CATHETR 5-3/4 14FR 29-32-14

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,other report with the FDA on 2017-04-10 for FEMALE CATHETR 5-3/4 14FR 29-32-14 manufactured by Integra - Miltex.

Event Text Entries

[72292722] To date the device involved in the reported incident has not been received for evaluation. An investigation has been initiated based on the reported information.
Patient Sequence No: 1, Text Type: N, H10


[72292723] Dealer initially reports stripping of flesh. On 4/3/2017 patient reports "the new (urethral) catheters were manufactured differently & have sharp edges which has taken small pieces of flesh after my bladder has been empty upon removal. "
Patient Sequence No: 1, Text Type: D, B5


[73578339] On 04/10/2017 integra investigation completed. Method: failure analysis, device history evaluation. Results: failure analysis - pictures provided by the customer, stating that the catheters are sharp and are stripping off flesh. Upon further investigation, a 1. 5aql was performed on existing inventory; it is found that none of the catheters have sharp edges. According to the attached pictures provided by the end user, we are unable to detect product markings and product id; therefore the complaint is unconfirmed. Device history evaluation - nonconforming product report / nonconforming material report history: none. Variance authorization / deviation history: none. Engineering change order/manufacturing change order history: none. Corrective action preventive action history/corrections: none. Health hazard evaluation history: none. Conclusion: there were pictures of the non-conforming catheters provided by the end user and the complaint report stating that they are stripping off flesh. According to the attached pictures provided by the end user, we are unable to detect product markings and product id; therefore the complaint is unconfirmed.
Patient Sequence No: 1, Text Type: N, H10


[109939772] On 5/31/2017 integra investigation completed. Device history evaluation - there were nine female catheter returned 4 out of the nine was damaged/sharped. The complaint report has been confirmed; the root cause has been identified as a workmanship or material deficiency. Appropriate action has been implemented to rectify this manufacturing deficiency.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2523190-2017-00046
MDR Report Key6477488
Report SourceDISTRIBUTOR,OTHER
Date Received2017-04-10
Date of Report2017-03-27
Date Mfgr Received2017-05-31
Device Manufacturer Date2016-09-01
Date Added to Maude2017-04-10
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 ContactUSER SANDRA LEE
Manufacturer Street311 ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362393
Manufacturer G1INTEGRA - MILTEX
Manufacturer Street589 DAVIES DRIVE
Manufacturer CityYORK PA 17402
Manufacturer CountryUS
Manufacturer Postal Code17402
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFEMALE CATHETR 5-3/4 14FR
Generic NameM18 - UROLOGY
Product CodeFBX
Date Received2017-04-10
Returned To Mfg2017-05-19
Catalog Number29-32-14
Lot NumberUNKNOWN
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA - MILTEX
Manufacturer Address589 DAVIES DRIVE 589 DAVIES DRIVE YORK PA 17402 US 17402


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-04-10

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