BEUDAMED
    FDA Adverse Event Other Summary report: N

    FUHRMAN PLEURAL AND PNEUMOPERICARDIAL DRAINAGE SET

    MDR report key: 505752 · Received January 12, 2004

    Report

    Report Number
    1820334-2004-00019
    Event Type
    Other
    Date Received
    January 12, 2004
    Date of Event
    December 7, 2003
    Report Date
    December 17, 2003
    Manufacturer
    COOK INC
    Product Code
    KDQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE HUB OF THE CATHETER WAS PLACED IN THE THORACIC CAVITY FOR THE CONTINUOUS DRAINAGE OF PLEURAL EFFUSION IN 2003, AND WAS FOUND SEPARATED FROM THE TUBING 3 DAYS LATER. THE PHYSICIAN ADVISED THE HUB SEPARATED WHEN THE PT WAS RESPOSITIONED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FUHRMAN PLEURAL AND PNEUMOPERICARDIAL DRAINAGE SET SPECIAL SET KDQ COOK INC NA F1266441

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other