BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CARDINAL HEALTH

    MDR report key: 1327335 · Received February 26, 2009

    Report

    Report Number
    MW5010102
    Event Type
    Malfunction
    Date Received
    February 26, 2009
    Date of Event
    February 18, 2009
    Report Date
    February 19, 2009
    Manufacturer
    CARDINAL HEALTH
    Product Code
    GCY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    JACKSON PRATT RESERVOIR CLOSING CAP WOULD NOT STAY ON SPOUT. SLIPPED OFF AN DRAINAGE SPILLED ON TO THE PATIENT'S BED. THIS HAPPENED WITH THREE DIFFERENT RESERVOIRS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARDINAL HEALTH JACKSON PRATT RESERVOIR GCY CARDINAL HEALTH

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR