FDA Adverse Event Injury Summary report: N

BARD WOUND DRAIN

MDR report key: 1192444 · Received October 7, 2008

Report

Report Number
1018233-2008-00071
Event Type
Injury
Date Received
October 7, 2008
Date of Event
August 18, 2008
Report Date
October 7, 2008
Manufacturer
C.R. BARD, INC.
Product Code
GBX
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO SAMPLE OR LOT NUMBER INFO WERE PROVIDED FOR EVAL. THE COMPONENT USED IN THE MFR OF THE REPORTED PROD CATALOG NUMBER IS REC'D FROM AN EXTERNAL SUPPLIER. INCOMING QA PERFORMS VISUAL INSPECTION TO VERIFY THAT DRAIN ASSEMBLIES ARE FREE OF AIR, BUBBLES, NICKS, CUTS, POCK MARKS AND SHORT SHOTS, PERFORM DIMENSIONAL INSPECTION, AND AN INSTRON BREAK STRENGTH TEST. ALSO, SUPPLIER CERTIFIES THAT PROD HAS BEEN MFG ACCORDING TO SPECS VIA A CERTIFICATE OF COMPLIANCE. AS A FINISHED GOOD, QA PERFORMS VISUAL INSPECTION TO VERIFY THAT PROD IS FREE OF CUTS OR TEARS ON THE SURFACE OF THE DRAIN. THE INCOMING QUAL ASSURANCE RECORDS FOR THE DRAIN USED IN THE MFR OF THE REPORTED PROD CATALOG NUMBER, WERE REVIEWED AND THE RECORDS DID NOT SHOW ANY REJECTS RELATED TO TENSILE VALUES. ALL VALUES WITHIN THE LAST TWO YRS WERE ABOVE THOSE SPECIFIED IN THE INTL STANDARD FOR SURGICAL DRAINS. THERE WAS NO EVIDENCE OF ANY MFG ISSUES THAT MAY HAVE CAUSED OR CONTRIBUTED TO THE REPORTED PROBLEM. STANDARD LABELING OF INSTRUCTIONS FOR USE FOR CHANNEL WOUND DRAINS SHOWS: TO AVOID THE POSSIBILITY OF DRAIN DAMAGE OR BREAKAGE: AVOID SUTURING THROUGH DRAINS. DRAINS SHOULD LIE FLAT AND IN LINE WITH THE SKIN EXIT AREAS. PARTICULAR CARE SHOULD BE TAKEN TO AVOID ANY OBSTACLES TO THE DRAIN EXIT PATH. DRAINS SHOULD BE CHECKED FOR FREE MOTION DURING CLOSURE TO MINIMIZE THE POSSIBILITY OF BREAKAGE. DRAIN REMOVAL SHOULD BE DONE GENTLY BY HAND. DRAINS SHOULD NOT BE HANDLED WITH POINTED, TOOTHED OR SHARP INSTRUMENTS WHICH COULD CAUSE CUTS OR NICKS AND LEAD TO SUBSEQUENT STRUCTURAL FAILURE OF THE DRAIN. SURGICAL REMOVAL MAY BE NECESSARY IF DRAIN IS DIFFICULT TO REMOVE OR BREAKS. BASE LINE REPORT PREVIOUSLY FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A WOUND DRAIN THAT WAS PLACED FOR ABDOMINAL CAVITY DRAINAGE, BROKE UPON REMOVAL. THE EVENT OCCURRED FOUR DAYS AFTER SURGERY. RESISTANCE WAS REPORTEDLY ENCOUNTERED AT DRAIN REMOVAL AND THE DRAIN WAS BROKEN. THE BROKEN PORTION WAS NOT INSIDE THE ABDOMINAL CAVITY. THE DRAIN PORTION WAS REMOVED AT THE TIME OF BREAKAGE BY MAKING AN INCISION INTO THE SKIN. NO FURTHER COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BARD WOUND DRAIN GBX C.R. BARD, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention