CARDINAL HEALTH
Report
- Report Number
- 1423537-2025-00416
- Event Type
- Injury
- Date Received
- October 17, 2025
- Date of Event
- May 19, 2025
- Report Date
- December 24, 2025
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- GBX
- UDI-DI
- 10192253022230
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
AN INVESTIGATION IS CURRENTLY IN PROGRESS. A FOLLOW-UP REPORT WILL BE FILED ONCE THE RESULTS HAVE BEEN COMPLETED.
LOT 1250349 WAS MANUFACTURED ON 04/14/25. VISUAL INSPECTION AND PULL TEST WERE CONDUCTED ON THE DRAINS WITHIN THIS LOT AND AND THE DRAINS PASSED THE ESTABLISHED ACCEPTANCE CRITERIA. A SAMPLE WAS RECEIVED FOR INVESTIGATION. VISUAL AND MICROSCOPIC INSPECTION WAS CONDUCTED AND BREAKAGE IN THE NON-PERFORATED AREA WAS OBSERVED. NO MANUFACTURING ISSUES WERE IDENTIFIED FOR THIS WORK ORDER. THERE WAS NO EVIDENCE OF EXCESSIVE FORCE OR ABNORMAL HANDLING OBSERVED ON THE RETURNED SAMPLE. THE ROOT CAUSE CANNOT BE DETERMINED. WE WILL CONTINUE TO MONITOR RELATED REPORTS TO DETERMINE IF ADDITIONAL ACTIONS ARE NECESSARY.
CORRECTION REPORT BEING FILED AGAINST MDR 1423537-2025-00416, FOLLOW-UP 1. H1 HAD BEEN INADVERTENTLY MARKED AS MALFUNCTION. H1 HAS BEEN CORRECTED TO A SERIOUS INJURY. NO OTHER CHANGES TO THE REPORT ARE REQUIRED.
CUSTOMER REPORTED THAT ON THE EVENING OF DAY OF SURGERY FOR A REVISION HEMILAMINECTOMY L2-3 RIGHT (BACK), THE PATIENT WAS BLEEDING HEAVILY FROM THE SURGICAL SITE INTO AND AROUND THE JP DRAIN. THEN THE PATIENT SUDDENLY HAD MINIMAL DRAINAGE OUTPUT. DR. ORDERED STRIPPING DRAIN TUBING. WHEN THIS WAS DONE THE TUBING SNAPPED EASILY WITH MINIMAL PRESSURE TO TUBING. THIS THEN REQUIRED A RETURN TO THE OPERATING ROOM. UNDER ANESTHESIA, A HEMATOMA WAS EVACUATED, THE WOUND WAS WASHED OUT, AND TWO NEW SURGICAL DRAINS WERE PLACED. THE PATIENT FULLY RECOVERED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1342266 | CARDINAL HEALTH | CATHETER, IRRIGATION | GBX | CARDINAL HEALTH 200, LLC | SU130-0321 | 1250349 | 10192253022230 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Male | Required Intervention| O |