BEUDAMED
    FDA Adverse Event Other Summary report: N

    J.P. [T WOUND] DRAIN

    MDR report key: 538564 · Received April 19, 2004

    Report

    Report Number
    538564
    Event Type
    Other
    Date Received
    April 19, 2004
    Date of Event
    December 1, 2003
    Report Date
    December 1, 2003
    Manufacturer
    CARDINAL [HEALTH MEDICAL PRODUCTS SERVICES]
    Product Code
    FCN
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RN [REGISTERED NURSE] MET RESISTANCE WHEN PULLING PT'S JP DRAIN. CONTACTED ATTENDING PHYSICIAN TO SEE PT. SUTURES WERE CUT AND THE M.D. [MEDICAL DOCTOR] PULLED ON THE DRAIN. THERE WAS A POP AND OUT CAME PART OF THE DRAIN. KUB [KIDNEY URETER AND BLADDER] SHOWED RETAINED DRAIN. RETURNED TO O.R [OPERATING ROOM] TO HAVE IT REMOVED. IT WAS DISCOVERED IN SURGERY THAT PART OF THE DRAIN MAY HAVE BEEN SEWN, THUS THE RESISTANCE IN INITIALLY PULLING THE DRAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 J.P. [T WOUND] DRAIN DRAIN FCN CARDINAL [HEALTH MEDICAL PRODUCTS SERVICES] * *

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other