FDA Adverse Event
Summary report: N
BARD CHANNEL DRAIN, 19 FR. ROUND HUBLESS FULL FLUTED, SILICONE.
MDR report key: 6998845
·
Received November 3, 2017
Report
- Report Number
- MW5073113
- Date Received
- November 3, 2017
- Report Date
- November 1, 2017
- Manufacturer
- C.R. BARD, INC.
- Product Code
- OEI
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
BLAKE DRAIN BROKE WHEN BEING REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 779855 | BARD CHANNEL DRAIN, 19 FR. ROUND HUBLESS FULL FLUTED, SILICONE. | CATHETER, IRRIGATION | OEI | C.R. BARD, INC. | 072230 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |