BEUDAMED
    FDA Adverse Event Other Summary report: N

    J-VAC

    MDR report key: 13744 · Received June 3, 1994

    Report

    Report Number
    MW1002350
    Event Type
    Other
    Date Received
    June 3, 1994
    Date of Event
    April 28, 1994
    Report Date
    May 17, 1994
    Manufacturer
    JOHNSON & JOHNSON PRODUCTS, INC.
    Product Code
    GCY
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PRODUCT WAS INSERTED DURING SURGICAL PROCEDURE. PT RETURNED TO SURGERY DUE TO PERSISTENT DRAINAGE, AND APPROXIMATELY 6 INCHES OF DRAIN WAS REMOVED. THE NURSES STATED THE PT HAD ROLLED OVER IN BED SEVERAL DAYS BEFORE RETURNING TO SURGERY, AND NURSE HAD FOUND A DRAIN IN THE PT'S BED. THE DRAIN THAT THE NURSE FOUND WAS THOUGHT TO BE THE ENTIRE DRAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 J-VAC CLOSED DRAIN GCY JOHNSON & JOHNSON PRODUCTS, INC. 17769

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Other