inforMED
MalfunctionPPG

DOVER

Received Nov 17, 2025 · Event occurred Oct 30, 2025

Report 1423537-2025-00462 · MDR key 23573762

Device

Generic name

Urinary Drainage Collection Kit

Model number

6070

Catalog number

6070

Lot number

2416314564

Product problems

  • Unintended Deflation
  • Unintended Deflation

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE HISTORY RECORD (DHR) FOR LOT 2416314564 WAS REVIEWED AND NO ANOMALIES RELATED TO THE REPORTED ISSUE WERE OBSERVED. A PICTURE AND A VIDEO WERE PROVIDED FOR ANALYSIS, AND UPON REVIEW, THE REPORTED ISSUE WAS OBSERVED. THE AFFECTED COMPONENT IS PRODUCED BY AN EXTERNAL SUPPLIER. PER SUPPLIER INVESTIGATION, A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED, AS THE PHYSICAL DEVICE WAS NOT RETURNED FOR EVALUATION. BASED ON THIS INFORMATION, NO CORRECTIVE ACTIONS ARE WARRANTED AT THIS TIME. WE WILL CONTINUE TO MONITOR RELATED REPORTS TO DETERMINE IF ADDITIONAL ACTIONS ARE NECESSARY.

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE ITEM INSIDE THE KIT WAS FAULTY. ACCORDING TO THE CUSTOMER, WHEN THEY INSERTED LIQUID INTO THE BALLOON, IT LEAKED. THERE WAS NO HARM REPORTED.