MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-29 for BARD 18" 400 CLOSED WOUND SUCTION KIT NGCX1094 0043610 manufactured by C. R. Bard, Inc..
[177356780]
Second day post-op on the floor, hemovac drain removed from knee. When dr was removing drain, 3" of drain remained inside of pt's wound. Pt was taken to the operating room for removal of drain that was retained.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5092620 |
| MDR Report Key | 9646765 |
| Date Received | 2020-01-29 |
| Date Added to Maude | 2020-01-30 |
| 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 |
| 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 | 3 |
| Brand Name | BARD 18" 400 CLOSED WOUND SUCTION KIT |
| Generic Name | APPARATUS, SUCTION, SINGLE PATIENT USE |
| Product Code | GCY |
| Date Received | 2020-01-29 |
| Model Number | NGCX1094 |
| Catalog Number | 0043610 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | C. R. BARD, INC. |
| Manufacturer Address | COVINGTON GA 30014 US 30014 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2020-01-29 |