BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALLEGIANCE HEALTHCARE CORP

    MDR report key: 383030 · Received March 4, 2002

    Report

    Report Number
    383030
    Event Type
    Injury
    Date Received
    March 4, 2002
    Date of Event
    February 18, 2002
    Report Date
    March 1, 2002
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP
    Product Code
    GCY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    SD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DOCTOR ATTEMPTED TO REMOVE DRAIN 3 DAYS AFTER SURGERY AND PART OF THE DRAIN REMAINED IN THE PT. DOCTOR THEN SCHEDULED A SECOND SURGERY TO REMOVE THE REST OF THE DRAIN. THE DRAIN'S REMAINING PIECE WAS REMOVED SUCCESSFULLY AND WITHOUT INCIDENT. PT RECUPERATED NORMALLY AND WAS DISCHARGED APPROPRIATELY 10 DAYS LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALLEGIANCE HEALTHCARE CORP JACKSON-PRATT SILICONE FLAT DRAIN GCY ALLEGIANCE HEALTHCARE CORP 7MM UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Hospitalization| R NEXIUM 40MG, NORVASC 5MG Q.D. PRIOR TO| HOSPITALIZATION.