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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD, INC. (COVINGTON) -1018233 CHANNEL DRAIN,15FR.,ROUND,HUBLESS ONE-PIECE CHANNEL DRAIN; WOUND DRAIN

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C.R. BARD, INC. (COVINGTON) -1018233 CHANNEL DRAIN,15FR.,ROUND,HUBLESS ONE-PIECE CHANNEL DRAIN; WOUND DRAIN Back to Search Results
Catalog Number 072228
Device Problems Material Fragmentation (1261); Insufficient Information (3190)
Patient Problems No Consequences Or Impact To Patient (2199); Foreign Body In Patient (2687); No Code Available (3191); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 10/22/2020
Event Type  Injury  
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.
 
Event Description
It was reported that there was an issue with bard channel drain.Additional information required.
 
Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.H11:section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event Description
It was reported that there was an issue with bard channel drain.Per medwatch complaint on (b)(6) 2020, it was reported that the ortho placed bard channel drain 15 fe round hubless full fluted drain after total knee replacement.When gently pulling drain out, it snapped off leaving part in patient.The piece had to be removed from patient by reopening the wound.
 
Manufacturer Narrative
The reported issue was inconclusive as no sample was returned for evaluation.A potential root cause for this failure could be due to "tensile requirements are not appropriate for the type of drain and/or procedure".It was unknown whether the device had met specifications.The product was used for treatment but it was unknown whether the product had caused the reported failure.The device was not returned for evaluation.The device history record was reviewed and found nothing that could have caused or contributed to the reported event.The instructions for use were found adequate and state the following: "to avoid the possibility of drain damage or breakage: avoid suturing through drains.Drains should lie flat and in line with the skin exit areas.Particular care should be taken to avoid any obstacles to the drain exit path.Drains should be checked for free motion during closure to minimize the possibility of breakage.Drain removal should be done gently by hand.Drains should not be handled with pointed, toothed or sharp instruments which could cause cuts or nicks and lead to subsequent structural failure of the drain.Surgical removal may be necessary if drain is difficult to remove or breaks".H11: section a through f - the information provided by bard represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bard.H3 other text : the device was not returned.
 
Event Description
It was reported that there was an issue with bard channel drain.Per medwatch complaint on 16nov2020,it was reported that the ortho placed bard channel drain 15 fe round hubless full fluted drain after total knee replacement.When gently pulling drain out, snapped off, leaving part in patient.The piece had to be removed from patient by reopening the wound.
 
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Brand Name
CHANNEL DRAIN,15FR.,ROUND,HUBLESS ONE-PIECE CHANNEL DRAIN
Type of Device
WOUND DRAIN
Manufacturer (Section D)
C.R. BARD, INC. (COVINGTON) -1018233
8195 industrial blvd
covington 30014
MDR Report Key10842637
MDR Text Key216324440
Report Number1018233-2020-20966
Device Sequence Number1
Product Code GBX
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other,user facility
Type of Report Initial,Followup,Followup
Report Date 04/22/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/16/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number072228
Device Lot NumberNGES2387
Was Device Available for Evaluation? No
Date Manufacturer Received04/22/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other; Required Intervention;
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