BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SNYDER HEMOVAC DRAINAGE DEVICE

    MDR report key: 145581 · Received September 30, 1996

    Report

    Report Number
    1526350-1996-00032
    Event Type
    Injury
    Date Received
    September 30, 1996
    Date of Event
    July 20, 1996
    Report Date
    July 31, 1996
    Manufacturer
    ZIMMER PATIENT CARE DIVISION
    Product Code
    GCY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DRAIN TUBE ALLEGEDLY SNAPPED APPROX 2 INCHES PAST INCISION LINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNYDER HEMOVAC DRAINAGE DEVICE FLAT SILICONE DRAIN, FULLY PERFORATED GCY ZIMMER PATIENT CARE DIVISION NA 30980200 OR 31012800

    Patients

    Seq Age Sex Outcome Treatment
    1 25 YR Required Intervention