BEUDAMED
    FDA Adverse Event Other Summary report: N

    FUHRMAN PLEURAL/PNEUMOPERICARDIAL DRAINAGE SET 6.0 FR. 15CM

    MDR report key: 21415188 · Received February 19, 2025

    Report

    Report Number
    MW5166496
    Event Type
    Other
    Date Received
    February 19, 2025
    Date of Event
    January 27, 2025
    Report Date
    February 13, 2025
    Manufacturer
    COOK INCORPORATED
    Product Code
    GBX
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    CHEST TUBE BROKE WHILE IN USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1208901 FUHRMAN PLEURAL/PNEUMOPERICARDIAL DRAINAGE SET 6.0 FR. 15CM CATHETER, IRRIGATION GBX COOK INCORPORATED G55714 16368576

    Patients

    Seq Age Sex Outcome Treatment
    1 13 DA Female