FDA Adverse Event Injury Summary report: N

CBC II DRIAN

MDR report key: 210596 · Received February 19, 1999

Report

Report Number
1811755-1999-00006
Event Type
Injury
Date Received
February 19, 1999
Date of Event
January 15, 1999
Report Date
January 15, 1999
Manufacturer
STRYKER INSTRUMENTS
Product Code
CAC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

WOUND DRAIN BROKE OFF POST OPERATIVELY AND WAS SURGICALLY REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CBC II DRIAN APARATUS, AUTO TRANSFUSION CAC STRYKER INSTRUMENTS 0225028614 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention