BEUDAMED
    FDA Adverse Event Other Summary report: N

    TUBING N-COND 6 MM 12 CLR STR

    MDR report key: 617781 · Received June 28, 2005

    Report

    Report Number
    1423507-2005-00086
    Event Type
    Other
    Date Received
    June 28, 2005
    Date of Event
    March 30, 2005
    Report Date
    June 28, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    GAZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN REPORTED THAT PATIENT POST LIPO SUCTION HAD MULTIPLE AREAS OF HARDENED FAT THAT HAD NOT BEEN SUCTIONED OUT. PHYSICIAN NOTED THAT THE SUCTION TUBING KEPT COLLAPSING ON ITSELF. THIS WAS THE CAUSE OF THE FAT NOT BEING SUCTIONED OUT COMPLETELY. PATIENT WILL NEED TO HAVE SURGERY REDONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TUBING N-COND 6 MM 12 CLR STR SUCTION TUBING GAZ CARDINAL HEALTH N612 Y5B1000

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention