URO170716

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-10 for URO170716 manufactured by Medline Industries Inc..

Event Text Entries

[145771628] It was initially reported that the reporting facility had an unknown number of leaking catheters, that the drain bag that hooks to hang on the beds were breaking off, that the facility tried to change the drain bag into a leg bag and they could not get the tubing out of the catheter, and that zero urine was draining from a patient. In relation to these reports, an incident was reported where the facility had ended up having to remove the foley catheter and re-insert a new foley catheter. Despite good faith efforts to obtain additional information, the reporting facility was unable or unwilling to provide any further patient, product, or procedural/event details. Due to the reported medical intervention of foley catheter exchange, this medwatch is being filed. A sample is not available to be returned for evaluation. A definitive root cause for the reported issues could not be identified 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


[145771629] Multiple foley catheter issues were reported and a patient reportedly required a foley catheter exchanged.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2019-00069
MDR Report Key8600350
Date Received2019-05-10
Date of Report2019-05-10
Date of Event2019-04-01
Date Mfgr Received2019-04-12
Date Added to Maude2019-05-10
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 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 NameTTL1LYR 16FR10ML 100%SILI DB TRA
Product CodeOHR
Date Received2019-05-10
Catalog NumberURO170716
Lot Number18EBE603
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
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 2019-05-10

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.