BARD? POLYURETHANE URETERAL CATHETERS, OPEN TIP 134005

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other,study report with the FDA on 2020-02-13 for BARD? POLYURETHANE URETERAL CATHETERS, OPEN TIP 134005 manufactured by C.r. Bard, Inc. (covington) -1018233.

Event Text Entries

[179478529] 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


[179478530] It was reported that patients often experienced pain and discomfort during use of the ureteral catheter. Information from survey: when asked about the unexpected challenges faced while using the polyurethane ureteral catheter, the respondent said "patients do tend to complain of pain and discomfort, especially asian populations of patients don? T tolerate it well". Per additional information from the survey participant with the bd clinical data collection ae survey via email 29jan2020; the ureteral catheter had to be removed due to unbearable pain, much worse than the stone itself. The patient had the stent in the first place for this reason, following ureteroscopy. The patient did not have any allergies, and the only medical intervention was to remove the bard ureteral catheter and replace it with a cook 4. 5 multi-length 26 cm ptfe ureteral catheter, which the patient was able to tolerate very well.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1018233-2020-01035
MDR Report Key9708028
Report SourceOTHER,STUDY
Date Received2020-02-13
Date of Report2020-03-03
Date Mfgr Received2020-02-26
Date Added to Maude2020-02-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
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 Report3

Device Details

Brand NameBARD? POLYURETHANE URETERAL CATHETERS, OPEN TIP
Generic NameURETERAL CATHETER, OPEN TIP, W/O SIDE EYE GUIDEWIRE COMPATABLE
Product CodeEYB
Date Received2020-02-13
Catalog Number134005
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
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
101. Other 2020-02-13

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