BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSTAVAC DRAIN CBC II

    MDR report key: 29748 · Received February 6, 1996

    Report

    Report Number
    MW1008263
    Event Type
    Injury
    Date Received
    February 6, 1996
    Date of Event
    January 31, 1996
    Report Date
    February 2, 1996
    Manufacturer
    STRYKER CORP.
    Product Code
    CAC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN REMOVED DRAIN AND RIGHT DRAIN BROKE OFF IN PT. REMOVAL OF DRAIN WAS UNWITNESSED BY PERSONNEL. PT REQUIRED ARTHROTOMY ON 1/31/96 TO REMOVE RETAINED FOREIGN BODY. 6" OF PLASTIC DRAIN WAS REMOVED. PT BILATERAL TOTAL KNEE REPLACEMENT 1/30/96.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONSTAVAC DRAIN CBC II AUTOTRANSFUSION APPARATUS CAC STRYKER CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention