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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD INC. (COVINGTON) -1018233 Closed Wound Suction; Wound Drain

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C.R. BARD INC. (COVINGTON) -1018233 Closed Wound Suction; Wound Drain Back to Search Results
Catalog Number 0070740
Medical Device Problem Code Fitting Problem (2183)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/07/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.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 the wound drains were not sealing between the evacuator and the drain, making it unable to complete the task, and also making the product to perform not as intended.Lot ngln1260.
 
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Brand Name
Closed Wound Suction
Common Device Name
Wound 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
+1(770)784-6100
MDR Report Key25812540
Report Number1018233-2026-04590
Device Sequence Number5953084
Product Code GCY
UDI-Device Identifier00801741049569
UDI-Public(01)00801741049569(11)260221(17)301231(10)NGLN1260
Combination Product (Y/N)N
Initial Reporter StateWI
Initial Reporter CountryUS
PMA/510(K) Number
Exempt
Number of Events Summarized1
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) 09/25/2026
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 Number0070740
Device Lot NumberNGLN1260
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer08/26/2026
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/07/2026
Supplement Date Received by Manufacturer08/03/2026
09/29/2026
Initial Report FDA Received Date07/14/2026
Supplement Report FDA Received Date08/05/2026
09/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/21/2026
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 Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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