BEUDAMED
    FDA Adverse Event Summary report: N

    BLAKE ILICONE DRAIN - 15 FR ROUND, FULL FLUTED

    MDR report key: 2213104 · Received August 15, 2011

    Report

    Report Number
    2213104
    Date Received
    August 15, 2011
    Date of Event
    August 9, 2011
    Report Date
    August 15, 2011
    Manufacturer
    ETHICON INC
    Product Code
    KDQ
    Report Source
    User Facility report
    Reporter Location
    DC, US

    Narratives

    Description of Event or Problem · 1

    THE INFECTION CONTROL DEPARTMENT CULTURED 2 CHEST TUBES IN STERILE PACKAGE FROM THE CICU AS PART OF OUR SURVEILLANCE AND FOLLOW-UP FOR MONITORING INFECTION RATES.ONE OF THE TWO HAS POSITIVE MICROBIOLOGY FINDINGS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BLAKE ILICONE DRAIN - 15 FR ROUND, FULL FLUTED CHEST TUBE KDQ ETHICON INC 15 FR ROUND, FULL FLUTED LOT # 463741SP

    Patients

    Seq Age Sex Outcome Treatment
    1 *