FDA Adverse Event Other Summary report: N

F-DRAINBAG, LATEX FREE, 2000M

MDR report key: 536164 · Received July 26, 2004

Report

Report Number
1417592-2004-00020
Event Type
Other
Date Received
July 26, 2004
Date of Event
June 30, 2004
Report Date
July 21, 2004
Manufacturer
MEDLINE INDUSTRIES, INC.
Product Code
EYZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

REPORTEDLY, TWO PTS CONTRACTED URINARY TRACT INFECTIONS WHILE UTILIZING THE DRAIN BAGS. THE PTS WERE TREATED WITH ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 F-DRAINBAG, LATEX FREE, 2000M DRAINAGE BAG EYZ MEDLINE INDUSTRIES, INC. DYND15205H 031504A

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention