CARDINAL HEALTH JACKSON PRATT
Report
- Report Number
- 1423537-2026-00078
- Event Type
- Injury
- Date Received
- March 20, 2026
- Date of Event
- February 17, 2026
- Report Date
- April 7, 2026
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- GBX
- UDI-DI
- 10192253022247
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
AN INVESTIGATION IS CURRENTLY IN PROGRESS. A FOLLOW-UP REPORT WILL BE FILED ONCE THE RESULTS HAVE BEEN COMPLETED.
A NON-CONFORMANCE REVIEW WAS CONDUCTED FOR LOT 1240157 AND THERE WERE NO NON-CONFORMANCES RELATED TO THE REPORTED EVENT ISSUED DURING THE MANUFACTURING OF THIS LOT. VISUAL INSPECTION AND PULL TEST WERE CONDUCTED ON THE DRAINS WITHIN THIS LOT AND MET THE ESTABLISHED ACCEPTANCE CRITERIA. THERE WAS NO DEVICE RETURNED FOR EVALUATION; THEREFORE, THE AFFECTED DEVICE COULD NOT BE EVALUATED TO DETERMINE THE ROOT CAUSE. A CORRECTIVE AND PREVENTIVE ACTION HAS BEEN INITIATED TO FURTHER INVESTIGATE THE REPORTED ISSUE. WE WILL CONTINUE TO MONITOR AND TAKE ACTIONS, AS APPLICABLE.
ON (B)(6) 2025, THE PATIENT HAD AN INITIAL SURGERY FOR L5-S1 TLIF. CUSTOMER REPORTED THE DRAIN BROKE OFF AND WAS RETAINED INSIDE THE PATIENT. ON (B)(6) 2025, THE PATIENT WAS BROUGHT BACK TO SURGERY FOR I&D OF LUMBAR WOUND. THE SURGEON DID NOT STATE THAT HE REMOVED ANY RETAINED DRAIN PIECES AND IT IS NOT DOCUMENTED IN THE SPECIMEN PORTION OF THE INTRAOPERATIVE RECORD. NO FURTHER INFORMATION WAS PROVIDED BY THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 328149 | CARDINAL HEALTH JACKSON PRATT | CATHETER, IRRIGATION | GBX | CARDINAL HEALTH 200, LLC | SU130-0323 | 1240157 | 10192253022247 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |