MAUDE Adverse Event Report: C.R. BARD INC. (COVINGTON) -1018233 CHANNEL DRAIN

Catalog Number	072214
Medical Device Problem Code	Device Contamination with Chemical or Other Material (2944)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/07/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that patient was there for a surgery.Surgeon always used two 10fr round drains (lot# ngkp0821).Surgeon opened two drains at beginning of case, both drains had fuzzy material on the drain in the sterile packaging.This has happened before.Surgeon switched and had to use 15fr drains which showed no contamination.No patient harm was reported.No physical sample was available.It was reported that patient was there for a surgery.Surgeon always used 10fr round drains with this surgery (lot# ngkp0821).Surgeon opened 3 different packages of sterile drains and all were unusable.They had fuzzy sticky stuff on drains and the third one had fuzzy substance and a hair inside the sterile packaging.Surgeon proceeded to use different size drain than needed due to this ongoing problem.No patient harm was reported.Physical sample was available.It was reported that physicians had several issues with 10f drains for a while (lot# ngjw3604).Wound drain had debris, powder- like substance on them.Very often the drains had small white pieces of plastic that are stuck to the clear portion of the drain.It was so frequent that physician had the staff check the tubing before inserting them.According to some, they saw this across drain sizes.Hospital users were not sure if something in the manufacturing changed.There had been two times that the drains did not function at the end of the case.After investigating, the same clear jell that was at the end of the drain by the trocar was filling the fluted part of the drain as well so it was not able to hold suction.Physician was having staff flush all the drains before placement and closed the incision, so they knew it function.
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.The reported product number is unknown.The udi number for this product is not available.H11: section a through f - the information provided by bd represents all 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.
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Correction: d, h.Udi format updated with available product information per gudid.H11: section a through f - the information provided by bd represents all 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 or Problem Description
It was reported that patient was there for a surgery.Surgeon always used two 10fr round drains (lot# ngkp0821).Surgeon opened two drains at beginning of case, both drains had fuzzy material on the drain in the sterile packaging.This has happened before.Surgeon switched and had to use 15fr drains which showed no contamination.No patient harm was reported.No physical sample was available.It was reported that patient was there for a surgery.Surgeon always used 10fr round drains with this surgery (lot# ngkp0821).Surgeon opened 3 different packages of sterile drains and all were unusable.They had fuzzy sticky stuff on drains and the third one had fuzzy substance and a hair inside the sterile packaging.Surgeon proceeded to use different size drain than needed due to this ongoing problem.No patient harm was reported.Physical sample was available.It was reported that physicians had several issues with 10f drains for a while (lot# ngjw3604).Wound drain had debris, powder- like substance on them.Very often the drains had small white pieces of plastic that are stuck to the clear portion of the drain.It was so frequent that physician had the staff check the tubing before inserting them.According to some, they saw this across drain sizes.Hospital users were not sure if something in the manufacturing changed.There had been two times that the drains did not function at the end of the case.After investigating, the same clear jell that was at the end of the drain by the trocar was filling the fluted part of the drain as well so it was not able to hold suction.Physician was having staff flush all the drains before placement and closed the incision, so they knew it function.
Additional Manufacturer Narrative
The reported event was confirmed cause unknown.Visual inspection noted foreign material measuring (0.25mm2) and located near the end of the round tubing.This occurrence does not introduce a new hazard or harm.It represents a known failure mode that has been assessed in the product risk management file in accordance with applicable regulatory standards and internal procedures.The associated risks continue to be monitored as part of ongoing post-market activities in compliance with both regulatory requirements and local procedures.The labeling is found to be adequate.A review of the device history record did not show any problems or conditions that would have contributed to the reported issue.Correction: d, e, h.Udi format updated with available product information per gudid.H11: section a through f - the information provided by bd represents all 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 or Problem Description
It was reported that patient was there for a surgery.Surgeon always used two 10fr round drains (lot# ngkp0821).Surgeon opened two drains at beginning of case, both drains had fuzzy material on the drain in the sterile packaging.This has happened before.Surgeon switched and had to use 15fr drains which showed no contamination.No patient harm was reported.No physical sample was available.It was reported that patient was there for a surgery.Surgeon always used 10fr round drains with this surgery (lot# ngkp0821).Surgeon opened 3 different packages of sterile drains and all were unusable.They had fuzzy sticky stuff on drains and the third one had fuzzy substance and a hair inside the sterile packaging.Surgeon proceeded to use different size drain than needed due to this ongoing problem.No patient harm was reported.Physical sample was available.It was reported that physicians had several issues with 10f drains for a while (lot# ngjw3604).Wound drain had debris, powder- like substance on them.Very often the drains had small white pieces of plastic that are stuck to the clear portion of the drain.It was so frequent that physician had the staff check the tubing before inserting them.According to some, they saw this across drain sizes.Hospital users were not sure if something in the manufacturing changed.There had been two times that the drains did not function at the end of the case.After investigating, the same clear jell that was at the end of the drain by the trocar was filling the fluted part of the drain as well so it was not able to hold suction.Physician was having staff flush all the drains before placement and closed the incision, so they knew it function.

• Brand Name: CHANNEL DRAIN
• Common Device Name: CHANNEL DRAIN
• Manufacturer (Section D): C.R. BARD INC. (COVINGTON) -1018233; 8195 industrial blvd; covington GA 30014
• Manufacturer (Section G): C.R. BARD INC. (COVINGTON) -1018233; 8195 industrial blvd; covington GA 30014
• Manufacturer Contact: xeeroy rada ; 8195 industrial blvd; covington, GA 30014 ; 7707846100
• MDR Report Key: 22784168
• Report Number: 1018233-2025-06689
• Device Sequence Number: 18597693
• Product Code: GBX
• UDI-Device Identifier: 00801741049798
• UDI-Public: (01)00801741049798(11)250210(17)291231(10)NGKN1625
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Health Professional,User Facility,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 10/10/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 072214
• Device Lot Number: NGKN1625
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/07/2025
• Supplement Date Received by Manufacturer: 10/01/2025; 10/10/2025
• Initial Report FDA Received Date: 08/12/2025
• Supplement Report FDA Received Date: 10/02/2025; 10/15/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 02/10/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown