BEUDAMED
    FDA Adverse Event Other Summary report: N

    CARDINAL HEALTH JACKSON PRATT DRAIN

    MDR report key: 971898 · Received May 4, 2007

    Report

    Report Number
    971898
    Event Type
    Other
    Date Received
    May 4, 2007
    Date of Event
    February 20, 2007
    Report Date
    March 28, 2007
    Manufacturer
    CARDINAL HEALTH
    Product Code
    GCY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    JACKSON-PRATT DRAIN BROKE WHEN ATTEMPTING TO DISCONTINUE DRAIN. PATIENT REQUIRED RETURN TO SURGERY FOR RETAINED PORTION OF DRAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARDINAL HEALTH JACKSON PRATT DRAIN JACKSON PRATT DRAIN GCY CARDINAL HEALTH UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Other