BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 145587 · Received September 30, 1996

    Report

    Report Number
    1526350-1996-00040
    Event Type
    Injury
    Date Received
    September 30, 1996
    Report Date
    September 4, 1996
    Manufacturer
    ZIMMER PATIENT CARE DIVISION
    Product Code
    GCY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DRAIN ALLEGEDLY BROKE UPON REMOVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK 1/8" SILICONE DRAIN GCY ZIMMER PATIENT CARE DIVISION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention