BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CHANNEL DRAIN

    MDR report key: 22840482 · Received August 19, 2025

    Report

    Report Number
    1018233-2025-06865
    Event Type
    Malfunction
    Date Received
    August 19, 2025
    Date of Event
    August 11, 2025
    Report Date
    October 10, 2025
    Manufacturer
    C.R. BARD INC. (COVINGTON) -1018233
    Product Code
    GBX
    UDI-DI
    00801741049729
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. UDI FORMAT UPDATED WITH AVAILABLE PRODUCT INFORMATION PER GUDID. H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.

    Additional Manufacturer Narrative · 0

    THE REPORTED EVENT WAS CONFIRMED CAUSE UNKNOWN. VISUAL INSPECTION NOTED FOREIGN MATERIAL MEASURING (0.80MM2) AND LOCATED ON THE CLEAR ROUND TUBING. THIS DOES NOT MEET SPECIFICATION WHICH STATES "PRODUCT MUST BE CLEAN AND FREE FROM OIL OR GREASE OR LOOSE FOREIGN MATTER". THE LABELING IS FOUND TO BE ADEQUATE. A REVIEW OF THE DEVICE HISTORY RECORD DID NOT SHOW ANY PROBLEMS OR CONDITIONS THAT WOULD HAVE CONTRIBUTED TO THE REPORTED ISSUE. NO ADDITIONAL ACTIONS CAN BE TAKEN AT THIS TIME. CORRECTION: D,E,H. UDI FORMAT UPDATED WITH AVAILABLE PRODUCT INFORMATION PER GUDID. H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE CUSTOMER STATED THAT THEY HAVE RECEIVED ADDITIONAL COMPLAINTS WITH THAT WOUND DRAIN, AS WELL AS IDENTIFIED THAT THIS MAY AFFECT MULTIPLE ITEMS NOT JUST THE ORIGINALLY REPORTED 072221. THEY NEED TO SET UP A CALL, TO DISCUSS OVER THAT ISSUE. THEY WERE LOOKING AT REMOVING THAT PRODUCT AND OTHERS FROM INVENTORY TILL THEY HAVE AN ALL CLEAR. THEY MENTIONED IMPACTED MATERIAL BELOW: MATERIAL#: 072211, MATERIAL#: 072190, MATERIAL#: 072189, MATERIAL#: 072214, MATERIAL#: 072186. PER ADDITIONAL INFORMATION RECEIVED VIA EMAIL ON 14AUG2025, CUSTOMER INSPECTED SIMILAR ITEMS AT THEIR DISTRIBUTION CENTER AND FOUND FUZZY HAIR FOREIGN MATTER IN THOSE ITEMS AS WELL. NO HARM TO A PATIENT AS THESE WERE FOUND BEFORE USE.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE CUSTOMER STATED THAT THEY HAVE RECEIVED ADDITIONAL COMPLAINTS WITH THAT WOUND DRAIN, AS WELL AS IDENTIFIED THAT THIS MAY AFFECT MULTIPLE ITEMS NOT JUST THE ORIGINALLY REPORTED 072221. THEY NEED TO SET UP A CALL, TO DISCUSS OVER THAT ISSUE. THEY WERE LOOKING AT REMOVING THAT PRODUCT AND OTHERS FROM INVENTORY TILL THEY HAVE AN ALL CLEAR. THEY MENTIONED IMPACTED MATERIAL BELOW: MATERIAL #072211, MATERIAL #072190, MATERIAL #072189, MATERIAL #072214, MATERIAL #072186. PER ADDITIONAL INFORMATION RECEIVED VIA EMAIL ON 14AUG2025, CUSTOMER INSPECTED SIMILAR ITEMS AT THEIR DISTRIBUTION CENTER AND FOUND FUZZY HAIR FOREIGN MATTER IN THOSE ITEMS AS WELL. NO HARM TO A PATIENT AS THESE WERE FOUND BEFORE USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    253028 CHANNEL DRAIN WOUND DRAIN GBX C.R. BARD INC. (COVINGTON) -1018233 NGKQ0148 00801741049729

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Other