inforMED
InjuryGBP

BARD / DAVOL

Received Oct 11, 2017 · Event occurred Sep 27, 2017

Report 6962365 · MDR key 6962365

Device

Generic name

Silicone Round Drain - Medium 1/8", 49" Long

Manufacturer

C. R. Bard, Inc.

Model number

REF# 0070310

Catalog number

UNK

Lot number

UNK

Product problems

  • Difficult to Remove
  • Tip breakage
  • Tip breakage

Patient

78 YR

  • Device Embedded In Tissue or Plaque
  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

PRODUCT HAD L3-S1 POSTERIOR SEGMENTAL IN STIMULATION AND DECOMPRESSION PROCEDURE ON (B)(6) 2017; A SILICONE ROUND DRAIN WAS PLACED, JP DRAIN. ON REMOVAL, IN PREPARATION FOR INPATIENT DISCHARGE, THE NURSE OBSERVED RESISTANCE FELT STUCK AND THEN RELEASED. ON REMOVAL INSPECTION, AN END OF TUBE WAS JAGGED. PHYSICIAN IMMEDIATELY NOTIFIED. CT CONFIRMED SOFT TISSUE DRAINAGE CATHETER PIECE IN LAMINECTOMY BED. PT RETURNED TO SURGERY FOR RETAINED DEVICE REMOVAL ON (B)(6) 2017.