N/A 006172P

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-16 for N/A 006172P manufactured by C. R. Bard, Inc..

Event Text Entries

[175219606] At a minimum of 5 times since the end of 2017, providers who have been using the "bard medical temporary pacing electrode catheter" have had instances of the tip of the catheter puncturing the wall of the heart, causing cases of pericardial effusion. In none of these instances did staff keep any of the packaging or any piece of the cardiac catheter kit. Providers requested a new type of catheter device, and when they began using it, the problems subsided. The new catheter kits that they were using eventually ran out of stock, causing them to go back and use the original ones that were originally causing problems for patients. At the end of 2019, after switching back to the bard medical catheters, a provider had another problem with a "bard medical temporary pacing electrode catheter. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9595638
MDR Report Key9595638
Date Received2020-01-16
Date of Report2020-01-03
Date of Event2019-12-03
Report Date2020-01-06
Date Reported to FDA2020-01-06
Date Reported to Mfgr2020-01-16
Date Added to Maude2020-01-16
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameN/A
Generic NameELECTRODE, PACEMAKER, TEMPORARY
Product CodeLDF
Date Received2020-01-16
Model Number006172P
Catalog Number006172P
Lot NumberGFDW3504
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerC. R. BARD, INC.
Manufacturer Address8195 INDUSTRIAL DRIVE COVINGTON GA 30014 US 30014


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-16

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