MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-03 for BARD CHANNEL DRAIN, 19 FR. ROUND HUBLESS FULL FLUTED, SILICONE. 072230 manufactured by C.r. Bard, Inc..
[91071551]
Blake drain broke when being removed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5073113 |
| MDR Report Key | 6998845 |
| Date Received | 2017-11-03 |
| Date of Report | 2017-11-01 |
| Date Added to Maude | 2017-11-03 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | UNKNOWN |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | BARD CHANNEL DRAIN, 19 FR. ROUND HUBLESS FULL FLUTED, SILICONE. |
| Generic Name | CATHETER, IRRIGATION |
| Product Code | OEI |
| Date Received | 2017-11-03 |
| Model Number | 072230 |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | C.R. BARD, INC. |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-11-03 |