BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CBC II

    MDR report key: 334688 · Received May 23, 2001

    Report

    Report Number
    2648666-2001-00052
    Event Type
    Injury
    Date Received
    May 23, 2001
    Date of Event
    March 22, 2001
    Report Date
    April 2, 2001
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    CAC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DRAIN TUBING BROKE IN TWO AFTER SEVERAL ATTEMPTS. PATIENT RETURNED TO OR FOR REMOVAL OF PIECE OF DRAIN TUBING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    24063 CBC II APPARATUS, AUTO TRANSFUSION CAC STRYKER INSTRUMENTS 0225-416-000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention