CARDINAL HEALTH JACKSON PRATT
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
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.
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 |