BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BLAKE DRAIN

    MDR report key: 1040723 · Received May 2, 2008

    Report

    Report Number
    2210968-2008-00320
    Event Type
    Injury
    Date Received
    May 2, 2008
    Product Code
    KDQ
    PMA / PMN Number
    K953655
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BLAKE DRAIN WOUND DRAINAGE SYSTEM KDQ NA 46811ISP

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention