BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CBC II CONSTAVAC

    MDR report key: 581630 · Received March 9, 2005

    Report

    Report Number
    MW1034893
    Event Type
    Injury
    Date Received
    March 9, 2005
    Date of Event
    January 11, 2005
    Report Date
    March 9, 2005
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    CAC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UNABLE TO GET CONSTAVAC DRAIN TO DRAIN BLOOD TO AUTOTRANSFUSE-THERE WAS 400 CC. PT UNABLE TO GET OWN BLOOD BACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CBC II CONSTAVAC AUTOTRANSFUSER CAC STRYKER INSTRUMENTS CBC II CONSTAVAC 04314BG2

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention