BEUDAMED
    FDA Adverse Event Summary report: N

    CBC II

    MDR report key: 517835 · Received March 22, 2004

    Report

    Report Number
    2648666-2004-20003
    Date Received
    March 22, 2004
    Report Date
    February 4, 2004
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    CAC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SURGEON ATTEMPTED TO REMOVE DRAIN AND DRAIN BROKE OFF. ADDITIONAL SURGERY WAS REQUIRED FOR REMOVAL OF FOREIGN BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CBC II APPARATUS, AUTO TRANSFUSION CAC STRYKER INSTRUMENTS 0225-028-914 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention