MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-05-01 for KENDALL KB5900 * manufactured by The Kendall Company.
[17418175]
Urinary drainage bag leaking. No puncture or misuse. Bag was "sitting in basin untouched, undisturbed".
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 393551 |
| MDR Report Key | 393551 |
| Date Received | 2002-05-01 |
| Date of Report | 2002-05-01 |
| Date of Event | 2002-04-23 |
| Date Facility Aware | 2002-04-23 |
| Report Date | 2002-05-01 |
| Date Reported to FDA | 2002-05-01 |
| Date Reported to Mfgr | 2002-05-01 |
| Date Added to Maude | 2002-05-14 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | KENDALL |
| Generic Name | DRAINAGE BAG |
| Product Code | EYZ |
| Date Received | 2002-05-01 |
| Model Number | KB5900 |
| Catalog Number | * |
| Lot Number | 521506 |
| ID Number | +H109KB59001S |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | * |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 382573 |
| Manufacturer | THE KENDALL COMPANY |
| Manufacturer Address | * MANSFIELD MA 02048 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2002-05-01 |