FDA Adverse Event Injury Summary report: N

CARDINAL HEALTH JACKSON PRATT

MDR report key: 24676906 · Received March 24, 2026

Report

Report Number
1423537-2026-00081
Event Type
Injury
Date Received
March 24, 2026
Date of Event
February 24, 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

Additional Manufacturer Narrative · 0

AN INVESTIGATION IS CURRENTLY IN PROGRESS. A FOLLOW-UP REPORT WILL BE FILED ONCE THE RESULTS HAVE BEEN COMPLETED.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THE DRAIN BROKE OFF INSIDE THE PATIENT. INITIAL LUMBAR SURGERY WAS PERFORMED ON (B)(6) 2026 WITH A DRAIN PLACEMENT. ON (B)(6) 2026, SURGERY FOR EXPLORATION POST SURGICAL LUMBAR WOUND REPAIR FOR DURAL TEAR WAS PERFORMED. PROVIDER STATED HE REMOVED A PIECE OF RETAINED DRAIN YESTERDAY ON (B)(6) 2026. NO FURTHER DETAILS WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174674 CARDINAL HEALTH JACKSON PRATT CATHETER, IRRIGATION GBX CARDINAL HEALTH 200, LLC SU130-0323 1240157 10192253022247

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention