UNKNOWN ALLEVYN GENTLE
Report
- Report Number
- 8043484-2020-00912
- Event Type
- Malfunction
- Date Received
- June 22, 2020
- Date of Event
- May 29, 2020
- Report Date
- July 9, 2020
- Manufacturer
- SMITH & NEPHEW MEDICAL LTD.
- Product Code
- NAD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- NURSE
Narratives
H10. ADDITIONAL INFORMATION RECEIVED FROM REPORTER HAS CONFIRMED THAT THE INCIDENT REPORTED IN THIS COMPLAINT IS THE SAME REPORTED UNDER COMPLAINT (B)(4), WITH MDR NO. 8043484-2020-00943. WE THEREFORE CLOSE THIS COMPLAINT AS A DUPLICATE. FURTHER COMMUNICATIONS AND RESULTS OF INVESTIGATION WILL BE SENT UNDER MDR NO. 8043484-2020-00943.
IT WAS REPORTED THAT TWO ALLEVYN DRESSING BOXES FROM DIFFERENT SIZES AND BATCHES HAD A SILICONE OFFSET. ADDITIONALLY WHEN REMOVING A DRESSING FROM A PATIENT'S BOTTOM, SILICONE RESIDUE WAS LEFT ON THE PATIENT'S SKIN. THE DRESSING HAD ONLY BEEN IN SITU FOR A FEW HOURS. THE DRESSINGS WERE STORED APPROPRIATELY IN THE DRESSING CUPBOARD SO NOT NEAR ANY HEAT SOURCES. IT IS UNKNOWN IF THERE WAS A BACK-UP DRESSING AVAILABLE, AND IF THERE WAS A DELAY IN THE PROCEDURE. NO PATIENT HARM REPORTED. PREVIOUS BOX REPORTED UNDER 8043484-2020-00910.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 645913 | UNKNOWN ALLEVYN GENTLE | DRESSING,WOUND,OCCLUSIVE | NAD | SMITH & NEPHEW MEDICAL LTD. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |