BEUDAMED
    FDA Adverse Event Injury Summary report: N

    J & J ETHICON

    MDR report key: 395947 · Received May 23, 2002

    Report

    Report Number
    395947
    Event Type
    Injury
    Date Received
    May 23, 2002
    Date of Event
    March 22, 2002
    Report Date
    April 4, 2002
    Manufacturer
    ETHICON, INC., QA
    Product Code
    GCY
    Report Source
    User Facility report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    A PT WITH SEVERE END-STAGE COPD AND UTERINE CARCINOMA THAT HAD ERODED INTO THE SMALL BOWEL UNDERWENT SURGERY FOR THE OVARIAN MASS RESECTION AND PARTIAL COLECTOMY. THE PT REQUIRED A REPEAT EXPLORATION TO REMOVE A PORTION OF A SURGICAL DRAIN WHICH WAS RETAINED DURING AN ATTEMPT TO REMOVE IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 J & J ETHICON 19 FR. BLAKE DRAIN GCY ETHICON, INC., QA UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Required Intervention