BEUDAMED
    FDA Adverse Event Injury Summary report: N

    URINARY DRAINAGE BAG

    MDR report key: 97424 · Received June 9, 1997

    Report

    Report Number
    8040412-1997-00052
    Event Type
    Injury
    Date Received
    June 9, 1997
    Date of Event
    May 1, 1997
    Report Date
    May 30, 1997
    Manufacturer
    RUSCH INC.
    Product Code
    EYZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CONNECTOR FROM THE DRAINAGE BAG TO THE CATHETER IS LEAKING. NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 URINARY DRAINAGE BAG DRAINAGE BAG EYZ RUSCH INC. NA 041096A

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other