BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD

    MDR report key: 2012159 · Received March 3, 2011

    Report

    Report Number
    MW5019674
    Event Type
    Injury
    Date Received
    March 3, 2011
    Date of Event
    February 24, 2011
    Report Date
    March 3, 2011
    Manufacturer
    BARD C.R. BARD, INC
    Product Code
    GCY
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING ROUTINE POST OPERATIVE DRAIN REMOVAL BY ORTHO RESIDENT, DISTAL PORTION OF DRAIN (APPROX 11MM) REMAINED IN THE PT'S BACK. THE PT WAS SCHEDULED FOR SURGERY, RETAINED DRAIN FRAGMENT WAS REMOVED ON (B)(6) 2011.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD CHANNEL DRAIN GCY BARD C.R. BARD, INC NGUH2771

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Disability