BEUDAMED
    FDA Adverse Event Injury Summary report: N

    C.R. BARD, INC

    MDR report key: 601341 · Received April 28, 2005

    Report

    Report Number
    601341
    Event Type
    Injury
    Date Received
    April 28, 2005
    Date of Event
    March 2, 2005
    Report Date
    March 15, 2005
    Manufacturer
    C.R. BARD, INC.
    Product Code
    GCY
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    CHANNEL SILICONE DRAIN WAS PLACED POST OPERATIVELY IN 2005. WHEN THE PHYSICIAN ATTEMPTED TO REMOVE THE DRAIN THE PT EXPERIENCED SIGNIFICANT PAIN. THE DRAN WAS RETAINED IN THE PT'S THIGH AND WAS OPERATIVELY REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 C.R. BARD, INC CHANNEL SILICONE DRAIN GCY C.R. BARD, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Hospitalization| R