BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NI

    MDR report key: 11852077 · Received May 19, 2021

    Report

    Report Number
    1416980-2021-03060
    Event Type
    Injury
    Date Received
    May 19, 2021
    Report Date
    May 19, 2021
    Manufacturer
    BAXTER HEALTHCARE CORPORATION
    Product Code
    MKY
    PMA / PMN Number
    NI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE REPORTED PRODUCT IS AN UNKNOWN BAXTER DERMA CLOSE PRODUCT. LITERATURE ARTICLE: MACKAY, B., J., DARDANO, A., N., KLAPPER, A., M., PAREKH, S., G., SOLIMAN, M., Q., AND VALERIO I., L. ¿MULTIDISCIPLINARY APPLICATION OF AN EXTERNAL TISSUE EXPANDER DEVICE TO IMPROVE PATIENT OUTCOMES: A CRITICAL REVIEW¿. ADVANCES IN WOUND CARE. 2020 SEP;9(9):525-538. DOI: 10.1089/WOUND.2019.1112. EPUB 2020 FEB 19. THE DEVICE WAS NOT RETURNED, AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

    Description of Event or Problem · 1

    A STUDY WAS PERFORMED IN WHICH A PATIENT UNDERWENT AN ANTEROLATERAL THIGH (ALT) FLAP WITH USE OF DERMACLOSE FOR CONTINUOUS EXTERNAL TISSUE EXPANSION. IT WAS REPORTED ONE WEEK AFTER CLOSURE, THE PATIENT EXPERIENCED NECROSIS OF THE RECTUS FEMORIS MUSCLE. THE CAUSE OF THE EVENT WAS NOT REPORTED. TREATMENT FOR THE EVENT WAS NOT REPORTED. AT THE TIME OF THIS REPORT, THE PATIENT OUTCOME WAS NOT REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    743442 NI SYSTEM, SKIN CLOSURE MKY BAXTER HEALTHCARE CORPORATION NA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Other