URO180814

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-26 for URO180814 manufactured by Medline Industries Inc..

Event Text Entries

[140003207] It was reported that a patient required a foley catheter exchange after it was noted that urine was leaking from the vent material of the urine-meter drainage system. Reportedly, the incident was noted within less than 24 hours of the foley catheter being placed in the patient. The foley catheter was discontinued and a new foley catheter system was inserted. There was no reported impact to the patient. There was no serious injury or follow-up care reported related to the event. Due to the reported event and need for foley catheter re-insertion, this medwatch is being filed. The reported issue of a leaking vent was verified through functional evaluation of the received sample. There is no definitive root cause for the leakage at this time. No additional information is available. If additional information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[140003208] It was reported that patient required a foley catheter exchange after it was noted that urine was leaking through the vent material of the urine meter drainage system.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2019-00040
MDR Report Key8451587
Date Received2019-03-26
Date of Report2019-03-01
Date of Event2019-02-23
Date Mfgr Received2019-03-01
Date Added to Maude2019-03-26
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 ContactBERMON PUNZALAN
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameTTLVENT 14FR10ML 100%SIL UM TR
Product CodeOHR
Date Received2019-03-26
Returned To Mfg2019-03-07
Catalog NumberURO180814
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-03-26

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