BARD? TOUCHLESS? PLUS UNISEX PRE-LUBRICATED VINYL URETHRAL CATHETER KIT 4A5142

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,other, report with the FDA on 2020-02-25 for BARD? TOUCHLESS? PLUS UNISEX PRE-LUBRICATED VINYL URETHRAL CATHETER KIT 4A5142 manufactured by C.r. Bard, Inc. (covington) -1018233.

Event Text Entries

[188335165] The investigation is still in progress. Once the investigation is complete, a supplemental report will be filed.
Patient Sequence No: 1, Text Type: N, H10


[188335166] It was reported that the catheter portion of the touchless plus intermittent catheter system was found inside the patient's bladder. Due to frequent uti's the patient received an ultrasound. The catheter was found coiled inside the bladder and anchored by encrustation. After the catheter was removed it was compared to the touchless plus intermittent kit to determine what the product was inside the body. The catheter that was removed came out discolored a yellowish hue. It was reported that the patient had been having regular intermittent catheters inserted to empty his bladder at least 4 times a day.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1018233-2020-01327
MDR Report Key9751913
Report SourceCOMPANY REPRESENTATIVE,OTHER,
Date Received2020-02-25
Date of Report2020-02-25
Date Mfgr Received2020-02-04
Date Added to Maude2020-02-25
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? TOUCHLESS? PLUS UNISEX PRE-LUBRICATED VINYL URETHRAL CATHETER KIT
Generic NameTOUCHLESS PLUS INTERMITTENT CATHETER SYSTEM
Product CodeFCM
Date Received2020-02-25
Catalog Number4A5142
Lot NumberNGCZ3612
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
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. Required No Informationntervention 2020-02-25

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