BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CARDINAL HEALTH

    MDR report key: 655219 · Received December 22, 2005

    Report

    Report Number
    655219
    Event Type
    Injury
    Date Received
    December 22, 2005
    Date of Event
    November 1, 2005
    Report Date
    November 10, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A THORACENTESIS, THE INNER WHITE CANNULA BEGAN TO BREAK APART. THE CANNULA WAS WITHDRAWN AND A NEW SET WAS USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARDINAL HEALTH THORACENTESIS TRAY WITH CATHETER KDQ CARDINAL HEALTH * L4L161

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Required Intervention