KENDALL TYCO HEALTHCARE MONO-FLO DRAINAGE BAG - 2000 ML 6308LL

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-08-13 for KENDALL TYCO HEALTHCARE MONO-FLO DRAINAGE BAG - 2000 ML 6308LL manufactured by Tyco/kendall.

Event Text Entries

[2796000] The device on the drainage tubing sticks up at least 1/4 an inch. This is where a syringe is inserted to draw urine from the tubing. This has caused multiple scratches on the inside of the thighs. This then bleeds and may take several weeks to heal. Persons that use this usually are old, frail, or have major medical conditions. This could cause infections as this skin is now scratched. This is a safety issue. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5026610
MDR Report Key2713628
Date Received2012-08-13
Date of Report2012-08-13
Date of Event2012-08-06
Date Added to Maude2012-08-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameKENDALL TYCO HEALTHCARE MONO-FLO DRAINAGE BAG - 2000 ML
Generic NameDRAINAGE BAG
Product CodeFCN
Date Received2012-08-13
Catalog Number6308LL
ID Number131155164
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerTYCO/KENDALL
Manufacturer Address15 HAMPSHIRE ST MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-08-13

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