FDA Adverse Event Other Summary report: N

BIOPATCH ANTIMICROBIAL DRESSING, 1" DISK

MDR report key: 1053093 · Received May 23, 2008

Report

Report Number
2648988-2008-00026
Event Type
Other
Date Received
May 23, 2008
Date of Event
May 1, 2008
Report Date
May 23, 2008
Manufacturer
INTEGRA NEUROSCIENCES, PR
Product Code
FRO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE INVOLVED IN THE REPORTED INCIDENT IS NOT AVAILABLE FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED, BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

THE REPORTER STATED THAT A PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) WAS PLACED IN THE ANTE CUBITAL FOSSA AREA OF THE ARM OF A PREMATURE BABY GIRL, BORN AT 28 WEEKS GESTATION. AFTER 4 DAYS, THE SITE WAS NOTICED TO BE LEAKING; NO LEAKING WAS REPORTED FROM THE LINE. THE PATIENT'S ENTIRE ARM TURNED RED, A PHOTOGRAPH SHOWS REDNESS WITH APPARENT SKIN LOSS IN AN AREA EXTENDING FROM THE ELBOW CREASE TO THE MID FOREARM. THE PICC WAS REMOVED FROM THE SITE AND A NEW PICC WAS PLACED IN THE OTHER ARM WITH NO BIOPATCH DRESSING. THE AFFECTED ARM WAS TREATED WITH BACTROBAN AND THE SYMPTOMS RESOLVED. THE BABY RECOVERED FROM THE EVENT, AND WAS DISCHARGED FROM THE UNIT. THE INSTRUCTIONS FOR USE OF THE DEVICE STATE: WARNINGS: DO NOT USE BIOPATCH DRESSING ON PREMATURE INFANTS, USE OF THIS PRODUCT ON PREMATURE INFANTS HAS RESULTED IN HYPERSENSITIVITY REACTIONS AND NECROSIS OF THE SKIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOPATCH ANTIMICROBIAL DRESSING, 1" DISK ANTIMICROBIAL DRESSING FRO INTEGRA NEUROSCIENCES, PR 1073082

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention