FDA Adverse Event Malfunction Summary report: N

CURASALT DSG KERLIX S/S 6X6.75

MDR report key: 1122164 · Received August 14, 2008

Report

Report Number
1018120-2008-00016
Event Type
Malfunction
Date Received
August 14, 2008
Date of Event
May 28, 2008
Report Date
August 11, 2008
Manufacturer
TYCO HEALTHCARE/KENDALL
Product Code
NAB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem · 1

IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL THAT A CUSTOMER HAD A PROBLEM WITH KERLIX GAUZE. THE CUSTOMER COMPLAINED THEY EXPERIENCED THREADS UPON REMOVAL OF THE DRESSING FROM THE WOUND SITE. AFTER REMOVING THE CURASALT, THE RN REMOVED THE THREADS WITH STERILE TWEEZERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CURASALT DSG KERLIX S/S 6X6.75 KERLIX GAUZE NAB TYCO HEALTHCARE/KENDALL 3339 7270501

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN