BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JACKSON PRATT

    MDR report key: 4091495 · Received August 22, 2014

    Report

    Report Number
    4091495
    Event Type
    Malfunction
    Date Received
    August 22, 2014
    Date of Event
    August 20, 2014
    Report Date
    August 22, 2014
    Manufacturer
    CARDINAL HEALTH
    Product Code
    GCY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US

    Narratives

    Description of Event or Problem · 1

    PT HAD JACKSON PRATT DRAIN PLACED DURING C-SECTION. THE FOLLOWING DAY WHEN ATTEMPTING TO REMOVE THE DRAIN, IT TRANSECTED AND THE DRAIN REMAINED INTRA-ABDOMINAL. THE PATIENT REQUIRED RETURNING TO THE OR FOR REMOVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    508090 JACKSON PRATT DRAIN, CATHETER GCY CARDINAL HEALTH * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *