BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SNYDER HEMOVAC DRAINAGE DEVICE

    MDR report key: 103697 · Received July 1, 1997

    Report

    Report Number
    103697
    Event Type
    Injury
    Date Received
    July 1, 1997
    Date of Event
    April 29, 1997
    Report Date
    May 1, 1997
    Manufacturer
    ZIMMER PATIENT CARE DIVISION
    Product Code
    GCY
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TUBING ALLEGEDLY BROKE OFF ON REMOVAL FROM PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNYDER HEMOVAC DRAINAGE DEVICE 400ML COMPLACT HEMOVAC EVAC W/1/8" WOUND DRAIN GCY ZIMMER PATIENT CARE DIVISION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Required Intervention