BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TYCO/HEALTHCARE

    MDR report key: 435793 · Received December 24, 2002

    Report

    Report Number
    435793
    Event Type
    Malfunction
    Date Received
    December 24, 2002
    Date of Event
    December 17, 2002
    Report Date
    December 24, 2002
    Manufacturer
    TYCO HEALTHCARE LIMITED
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD CHEST TUBE PLACED X2. LEAK NOT PRESENT UNTIL PT WAS CHANGED TO GLASS CHEST TUBE CONTAINER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TYCO/HEALTHCARE ALTITUDE DRAIN KDQ TYCO HEALTHCARE LIMITED * NEXT AVAILABLE 00388885713704

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other