BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JACKSON PRATT DRAIN

    MDR report key: 29255 · Received January 5, 1996

    Report

    Report Number
    MW1008064
    Event Type
    Injury
    Date Received
    January 5, 1996
    Manufacturer
    DAVOL, INC.
    Product Code
    GCY
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CR BARD, INC. 8195 INDUSTRIAL BLVD, COVINGTON, GA 30209-2695. AN MDR INJURY REPORT WAS FILED ON THIS EVENT ON 1/30/96, ACCESS NUMBER M745505.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JACKSON PRATT DRAIN SURGICAL DRAIN GCY DAVOL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 *