BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SNYDER HEMOVAC DRAINAGE DEVICE

    MDR report key: 145584 · Received September 30, 1996

    Report

    Report Number
    1526350-1996-00039
    Event Type
    Injury
    Date Received
    September 30, 1996
    Date of Event
    August 21, 1996
    Report Date
    September 18, 1996
    Manufacturer
    ZIMMER PATIENT CARE DIVISION
    Product Code
    GCY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DRAIN WAS REMOVED BUT A PORTION OF THE DRAIN WAS ALLEGEDLY RETAINED IN THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNYDER HEMOVAC DRAINAGE DEVICE 400ML COMPACT EVACUATOR, W/DRAIN TUBING GCY ZIMMER PATIENT CARE DIVISION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Required Intervention