BEUDAMED
    FDA Adverse Event Other Summary report: N

    PLEUR-EVAC ADULT/PEDIATRIC CHEST DRAINAGE UNIT

    MDR report key: 187321 · Received September 11, 1998

    Report

    Report Number
    1221601-1998-00006
    Event Type
    Other
    Date Received
    September 11, 1998
    Date of Event
    August 11, 1998
    Report Date
    September 11, 1998
    Manufacturer
    GENZYME SURGICAL PRODUCTS CORP.
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CONNECTOR COMPONENT BROKE DURING USE. NO PT COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLEUR-EVAC ADULT/PEDIATRIC CHEST DRAINAGE UNIT PLEUR-EVAC CHEST DRAINAGE KDQ GENZYME SURGICAL PRODUCTS CORP. A-8000-08 268722

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other