MAUDE MDR 8282931

MDR report key
8282931
Report number
1018233-2019-00433
Event key
0
Event type
3
Date received
2019-01-28
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
YONIC ANDERSON
Address
8195 INDUSTRIAL BLVD COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BARD? INTRA-ABDOMINAL PRESSURE MONITORING DEVICEINTRA-ABDOMINAL PRESSURE MONITORING KITC.R. BARD, INC. (COVINGTON) -1018233PHUIAP001IAP001UNKR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-01-280

Event Narratives#

N

Patient 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE FILED. THE DEVICE WAS NOT RETURNED.

D

Patient 1

IT WAS REPORTED THAT AN ENTIRE BAG OF SALINE DRAINED INTO A PATIENT'S BLADDER. NO MEDICAL INTERVENTION WAS REPORTED.