inforMED
DeathGBM

SPEEDICATH, ACC CH14 MALE

Received Sep 3, 2019

Report 3006606901-2019-00013 · MDR key 8957230

Device

Generic name

Catheter, Urethral

Model number

2848411400

Catalog number

2848411400

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

81 YR

  • Cyst(s)
  • Cyst(s)

Narrative

Additional Manufacturer Narrative

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 ADDITIONAL FACTS PROMPT US TO ALTER OR SUPPLEMENT ANY INFORMATION OF CONCLUSIONS CONTAINED IN THE ORIGINAL MDR OR IN ANY PRIOR SUPPLEMENTAL REPORTS, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

ACCORDING TO THE AVAILABLE INFORMATION, THE END USER DEVELOPED A CYST ON HIS PROSTATE FROM CATHETERIZING, WHICH LED TO SEPSIS AND PASSED AWAY ON TUESDAY (B)(6) 2017 (WE ARE INVESTIGATING THIS DATE AS IT CONFLICTS WITH THE DATE INDICATED FOR START OF USE OF THE PRODUCT) AT (B)(6) HOSPITAL IN (B)(6). DEVICE: COLOPLAST LUBRICATED STRAIGHT 14 FR INTERMITTENT CATHETER - CATHETER WAS IN A GREEN FOIL METAL PACKAGE CONTAINING LIQUID. (NO PRODUCT NUMBER HAS BEEN GIVEN SO WE HAVE USED 28484 FOR THIS COMPLAINT).