BEUDAMED
    FDA Adverse Event Injury Summary report: N

    3/4" PERF. SIL. 10X20MM HYDROCOAT

    MDR report key: 145590 · Received September 30, 1996

    Report

    Report Number
    1526350-1996-00029
    Event Type
    Injury
    Date Received
    September 30, 1996
    Date of Event
    June 15, 1996
    Report Date
    August 20, 1996
    Manufacturer
    ZIMMER PATIENT CARE DIVISION
    Product Code
    GCY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHEN THE MD WAS REMOVING THE DRAIN, IT ALLEGEDLY BROKE AND WAS RETAINED IN THE WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3/4" PERF. SIL. 10X20MM HYDROCOAT SILICONE DRAINAGE TUBING GCY ZIMMER PATIENT CARE DIVISION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Required Intervention