BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEYER-SCHULTE JACKSON-PRATT DRAIN 10 MM

    MDR report key: 28257 · Received November 7, 1995

    Report

    Report Number
    28257
    Event Type
    Injury
    Date Received
    November 7, 1995
    Date of Event
    October 26, 1995
    Report Date
    November 3, 1995
    Manufacturer
    BAXTER-AMERICAN V. MUELLER, BAXTER HEALTHCARE CORP.
    Product Code
    GCY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SURGEON ATTEMPTED TO REMOVE DRAIN FROM CHEST OF POST-OP CABG PT AT BEDSIDE. DRAIN BROKE OFF AND PT HAD TO RETURN TO OR FOR PERICARDIOTOMY AND RETRIEVAL OF RETAINED PORTION OF J-P DRAIN. RETAINED PORTION WAS SUCCESSFULLY RETRIEVED AND PT RECOVERED AND WAS DISCHARGED FROM THE HOSP 10/30/95.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEYER-SCHULTE JACKSON-PRATT DRAIN 10 MM DRAIN GCY BAXTER-AMERICAN V. MUELLER, BAXTER HEALTHCARE CORP. SU130-1311

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention