FDA Adverse Event Malfunction Summary report: N

SILICONE ROUND DRAIN

MDR report key: 25196442 · Received May 17, 2026

Report

Report Number
1018233-2026-03254
Event Type
Malfunction
Date Received
May 17, 2026
Date of Event
May 8, 2026
Report Date
May 15, 2026
Manufacturer
C.R. BARD INC. (COVINGTON) -1018233
Product Code
GBX
UDI-DI
00801741049439
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.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPD DEPARTMENT FOUND, UPON PULLING CASES, THAT A FEW OF THE TUBES HAD BLACK DOTS ON THEM (NOT ALL PACKAGES). ADDITIONAL PRODUCTS UNDER ANOTHER REFERENCE NUMBER WERE ALSO NOTED TO HAVE BLACK DOTS ALONG THE TUBING. IT WAS FURTHER REPORTED THAT BOTH REF 070210AND 070310 HAD THESE BLACK DOTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
8074 SILICONE ROUND DRAIN ROUND DRAIN GBX C.R. BARD INC. (COVINGTON) -1018233 UNK 00801741049439

Patients

Seq Age Sex Outcome Treatment
1