BARD CHANNEL DRAIN 15 FR 072188

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-21 for BARD CHANNEL DRAIN 15 FR 072188 manufactured by C. R. Bard, Inc. / Bd.

MAUDE Entry Details

Report NumberMW5091247
MDR Report Key9362911
Date Received2019-11-21
Date of Report2019-11-13
Date of Event2019-11-07
Date Added to Maude2019-11-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBARD CHANNEL DRAIN 15 FR
Generic NameSUCTION, SINGLE PATIENT USE
Product CodeGCY
Date Received2019-11-21
Model Number072188
Lot Number"NGDU2644"
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerC. R. BARD, INC. / BD


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-11-21

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