BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CARDINAL HEALTH

    MDR report key: 542818 · Received June 24, 2004

    Report

    Report Number
    MW1032636
    Event Type
    Injury
    Date Received
    June 24, 2004
    Date of Event
    June 2, 2004
    Report Date
    June 14, 2004
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING SURGICAL PROCEDURE, WHEN LIPO-SUCTION MACHINE WAS TURNED ON, THE CANISTER EXPLODED INTO MANY PIECES. NO PT HARM OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARDINAL HEALTH 3000 CC SUCTION CANNISTER KDQ CARDINAL HEALTH * *

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Required Intervention