BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CBC II DRAIN

    MDR report key: 222197 · Received May 5, 1999

    Report

    Report Number
    2648666-1999-00045
    Event Type
    Injury
    Date Received
    May 5, 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 DRAIN APARATUS, AUTO TRANSFUSION CAC STRYKER INSTRUMENTS 0225-028-614 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention