FDA Adverse Event Other Summary report: N

DERMABOND TOPICAL SKIN ADHESIVE

MDR report key: 1082945 · Received July 23, 2008

Report

Report Number
1034548-2008-00020
Event Type
Other
Date Received
July 23, 2008
Date of Event
May 22, 2008
Report Date
June 25, 2008
Manufacturer
CLOSURE MEDICAL CORP.
Product Code
MPN
PMA / PMN Number
960052
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

SOME INFO FOR THIS REPORT HAD NOT BEEN PROVIDED AT THIS FILING. IF THE INFO IS PROVIDED AT A LATER DATE, A SUPPLEMENTAL FILING WILL BE SENT. THE EVENT DESCRIPTION DOES NOT SUGGEST THAT THE FUNCTIONAL PERFORMANCE OF THE DEVICE WAS OUT OF SPEC, BUT DOES INDICATE A POSSIBLE SENSITIVITY REACTION TO CYANOACRYLATES OR IT'S DERIVATIVES. THE PACKAGE INSERT PROVIDES CONTRAINDICATIONS AND ADVERSE REACTIONS: DO NOT USE ON PTS WITH A KNOWN HYPERSENSITIVITY TO CYANOACRYLATES OR FORMALDEHYDE. REACTIONS MAY OCCUR IN PTS WHO ARE HYPERSENSITIVE TO CYANOACRYLATES OR FORMALDEHYDE.

Description of Event or Problem · 1

A SALES REP CALLED TO REPORT THAT THE DR USES DERMABOND OFTEN. THE DR USED DERMABOND ON A PT THAT HAD A LAPAROSCOPIC HYSTERECTOMY. THE PT HAD 3 TROCAR SITES WHERE DERMABOND WAS APPLIED AND THE PT RETURNED ONE WEEK POST OPERATIVELY EXHIBITING OOZING AND BLISTERS. THAT WAS APPROX 5 WEEKS AGO. THE BLISTERS HAD SPREAD TO HER LEG. THEY CULTURED IT AND IT WAS NEGATIVE FOR MRSA. DURING A F/U IN 2008, THE DR STATED THAT THE PT HAD SURGERY THE PREVIOUS MONTH, AND RETURNED THE FOLLOWING WEEK WITH A RASH WHICH ORIGINALLY STARTED AT THE INCISION SITES AND APPEARED AS A RED RASH. SINCE THEN, THE RASH BECAME WORSE AND SPREAD TO HER LOWER EXTREMITIES. SHE PRESCRIBED MULTIPLE ANTIBIOTICS SUCH AS AMOXICILLIN AND AN ANTIBIOTIC FOR MRSA. THE DR PRESCRIBED STEROID CREAMS AND HYDROCORTISONE FOR THE ITCHING. THE DR DOES NOT KNOW IF THE PT HAS ANY ALLERGIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DERMABOND TOPICAL SKIN ADHESIVE TISSUE ADHESIVE FOR SOFT TISSUE APPROX MPN CLOSURE MEDICAL CORP. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Other