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MalfunctionEZL

FOLYSIL SILICONE CATHETER 16FR

Received Apr 4, 2008 · Event occurred Jan 17, 2008

Report 9610711-2008-00004 · MDR key 1025353

Device

Generic name

Silicone Foley Catheter

Model number

AA6116

Catalog number

AA6116

Lot number

06064032

Product problems

  • Detachment Of Device Component
  • Tip breakage

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

ACCORDING TO THE INFO RECEIVED, DURING USE OF A STYLET, THE TIP OF THE CATHETER DISCONNECTED FROM THE CATHETER. THIS WAS OBSERVED PRIOR TO USE, SO THERE WAS NO CLINICAL CONSEQUENCE.

Additional Manufacturer Narrative

ADD'L INFO HAS BEEN REQUESTED. AT THIS TIME, NO RESPONSE HAS BEEN RECEIVED. WITHOUT THE BENEFIT OF EXAMINATION AND TESTING, COLOPLAST IS PRECLUDED FROM COMMENTING ON THE CONDITION OF THE DEVICE OR THE CAUSE OF THE OCCURRENCE. SHOULD THE DEVICE OR ADD'L INFO BE RECEIVED, AN ADDENDUM TO THIS REPORT WILL BE FILED. UPON REVIEW OF THE LOT HISTORY RECORDS, NO DEFECTS WERE NOTED DURING GLUING OF THE TIP. NO ADD'L REPORTS HAVE BEEN RECEIVED FOR THIS LOT.