BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRYKRER CBC11 CONSTAVAC BLOOD CONERATION SYSTEM WITH QUICK DISCONNECT AND OL. 1

    MDR report key: 7208998 · Received January 19, 2018

    Report

    Report Number
    MW5074678
    Event Type
    Injury
    Date Received
    January 19, 2018
    Report Date
    January 17, 2018
    Manufacturer
    STRYKER
    Product Code
    CAC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS AT HOSPITAL FOR RIGHT KNEE SURGERY ON (B)(6) 2017. WHEN PATIENT WENT FOR HIS FOLLOW-UP VISIT TO HIS SURGEON, THE X-RAY SHOWED THAT THE TIP OF THE KNEE DRAIN WAS IN HIS KNEE, 6 EYELETS OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    48444 STRYKRER CBC11 CONSTAVAC BLOOD CONERATION SYSTEM WITH QUICK DISCONNECT AND OL. 1 STRYKRER CBC11 CONSTAVAC BLOOD CONERATION SYSTEM WITH QUICK DISCONNECT AND OL. 1 CAC STRYKER 0225-028-926 17230012

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Hospitalization