BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NONE

    MDR report key: 2123045 · Received November 21, 2008

    Report

    Report Number
    1526350-2008-00040
    Event Type
    Injury
    Date Received
    November 21, 2008
    Report Date
    October 23, 2008
    Product Code
    GCY
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ZIMMER CONTACTED HOSPITAL TO GAIN ADDITIONAL EVENT DETAILS. RISK MANAGER STATED SEVERAL VENDORS WERE BEING USED AND THAT IT COULD NOT BE CONFIRMED TO BE A ZIMMER DRAIN. DEVICE WAS DISCARDED BY HOSPITAL. HOSPITAL RECORDS DID NOT REVEAL ANY FURTHER INFO REGARDING CATALOG NUMBER OR LOT NUMBER. THIS REPORT IS BEING FILED WITHOUT CONFIRMATION THAT PRODUCT WAS A ZIMMER DRAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE GCY

    Patients

    Seq Age Sex Outcome Treatment
    1