URO170816

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 URO170816 manufactured by Medline Industries Inc..

Event Text Entries

[139986716] It was reported that a patient noted that she felt wet approximately fifteen (15) minutes after the urinary catheter was inserted. Reportedly, a staff member assessed the patient and noted that the pad underneath her was wet with urine. The staff member believed that urine was leaking from the urinary catheter's shaft. The urinary catheter was removed by the staff member and a new urinary catheter was inserted without further reported incident. No impact to the patient's stability or need for additional medical intervention and/or follow-up care was reported to the manufacturer. The urinary catheter involved in the reported incident was returned to the manufacturer for evaluation. Visual inspection of the urinary catheter revealed no defects or abnormalities. Functional inspection was performed by inflating the urinary catheter balloon with 10ml of water. The urinary catheter balloon inflated and deflated fully with no defects, abnormalities, or leakage noted. Water was then passed through the urinary catheter's eyelets and allowed to drain into the urine meter. All water was able to drain properly into the urine meter, with no defects to the urinary catheter noted or leakage identified. The reported product issue was not confirmed and a root cause for the reported incident could not be determined. Due to the need for medical intervention to remove and replace the urinary catheter, this medwatch is being filed. If additional relevant information becomes available a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[139986737] It was reported that the urinary catheter was leaking. The urinary catheter was removed and replaced.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2019-00038
MDR Report Key8453785
Date Received2019-03-26
Date of Report2019-03-26
Date of Event2019-03-01
Date Mfgr Received2019-03-21
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 ContactNIGEL VILCHES
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 600932753
Manufacturer CountryUS
Manufacturer Postal600932753
Manufacturer Phone2249311458
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameTTL1LYR 16FR10ML 100%SILI UM TRAY
Product CodeOHR
Date Received2019-03-26
Returned To Mfg2019-03-22
Catalog NumberURO170816
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 600932753 US 600932753


Patients

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

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