inforMED
MalfunctionMJC

BARDEX® I.C. COMPLETE CARE® FOLEY TRAY

Received Aug 15, 2017 · Event occurred Feb 2, 2016

Report 1018233-2017-04231 · MDR key 6796165

Device

Generic name

Componet (syringe)

Catalog number

900016A

Lot number

5HK8018

Product problems

  • Crack
  • Fluid/Blood Leak

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

UPON FURTHER REVIEW, BARD MEDICAL HAS DETERMINED THAT THIS MDR WAS INITIALLY REPORTED IN ERROR AS THIS EVENT IS NOT REPORTABLE.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS A CRACK ON THE SYRINGE. AS A RESULT, WATER LEAKED OUT FROM THE CRACKED AREA DURING PRETEST. COMPLAINT IS BEING ENTERED AS A RESULT OF THE MEDICON RETROSPECTIVE REVIEW.

Additional Manufacturer Narrative

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE INFORMATION PROVIDED BY BARD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BARD. THE DEVICE WAS NOT RETURNED.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS A CRACK ON THE SYRINGE. AS A RESULT, WATER LEAKED OUT FROM THE CRACKED AREA DURING PRETEST. COMPLAINT IS BEING ENTERED AS A RESULT OF THE MEDICON RETROSPECTIVE REVIEW.