MAGIC3? HYDROPHILIC INTERMITTENT CATHETER, FEMALE 51614S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-05 for MAGIC3? HYDROPHILIC INTERMITTENT CATHETER, FEMALE 51614S manufactured by C.r. Bard, Inc. (covington) -1018233.

Event Text Entries

[135157643] The investigation is still in progress. Once the investigation is complete a supplemental report will be filed. The device was not returned.
Patient Sequence No: 1, Text Type: N, H10


[135157644] It was reported that the magic 3 catheter failed the visual analysis evaluation. Fda customs detained this product at the border where it was randomly selected to be sampled and sent to an fda selected laboratory for inspection.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1018233-2019-00588
MDR Report Key8304703
Date Received2019-02-05
Date of Report2019-03-26
Date Mfgr Received2019-03-06
Date Added to Maude2019-02-05
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 ContactYONIC ANDERSON
Manufacturer Street8195 INDUSTRIAL BLVD
Manufacturer CityCOVINGTON GA 30014
Manufacturer CountryUS
Manufacturer Postal30014
Manufacturer Phone7707846100
Manufacturer G1C.R. BARD, INC. (COVINGTON) -1018233
Manufacturer Street8195 INDUSTRIAL BLVD
Manufacturer CityCOVINGTON GA 30014
Manufacturer CountryUS
Manufacturer Postal Code30014
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMAGIC3? HYDROPHILIC INTERMITTENT CATHETER, FEMALE
Generic NameMAGIC 3 CATHETER
Product CodeOHR
Date Received2019-02-05
Model Number51614S
Catalog Number51614S
Lot NumberUNK
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerC.R. BARD, INC. (COVINGTON) -1018233
Manufacturer Address8195 INDUSTRIAL BLVD COVINGTON GA 30014 US 30014


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-05

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