BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER CBC II DRAIN

    MDR report key: 726655 · Received June 7, 2006

    Report

    Report Number
    MW1039524
    Event Type
    Malfunction
    Date Received
    June 7, 2006
    Date of Event
    May 2, 2006
    Report Date
    June 7, 2006
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    CAC
    Product Problem
    Yes
    Report Source
    Voluntary report

    Narratives

    Description of Event or Problem · 1

    FAULTY DRAIN - AFTER 220 ML BLOOD COLLECTED COULD NOT RELEASE BLOOD TO REINFUSION BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER CBC II DRAIN BLOOD CONSERVATION DRAIN CAC STRYKER INSTRUMENTS 225-28-104REV-A 3080101060320129Q

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR