FDA Adverse Event
Death
Summary report: N
THORA-KLEX CHEST DRAIN SYSTEM
MDR report key: 261951
·
Received February 11, 2000
Report
- Report Number
- 1221601-2000-00001
- Event Type
- Death
- Date Received
- February 11, 2000
- Date of Event
- January 17, 2000
- Report Date
- January 27, 2000
- Manufacturer
- GENZYME SURGICAL PRODUCTS CORP.
- Product Code
- KDQ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A PT DEATH WAS REPORTED. DURING THE PT STAY IN POST-OP, A THORA-KLEX UNIT WAS CONNECTED UP TO SUCTION AND REPORTED TO NOT FUNCTION. A SECOND UNIT WAS PUT IN PLACE AND FUNCTIONED PROPERLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | THORA-KLEX CHEST DRAIN SYSTEM | CHE DRAINAGE DEVICE | KDQ | GENZYME SURGICAL PRODUCTS CORP. | 0077000 | 369333 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Death |