FDA Adverse Event Other Summary report: N

KERLIX ROLL 8 PLY 4.5IN X 3.1 YD STRL

MDR report key: 1416579 · Received April 1, 2009

Report

Report Number
1018120-2009-00026
Event Type
Other
Date Received
April 1, 2009
Report Date
March 19, 2009
Manufacturer
COVIDIEN
Product Code
NAB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICAL THERAPIST

Narratives

Additional Manufacturer Narrative · 1

(B) (4). AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem · 1

IT WAS REPORTED TO COVIDIEN ON 3/19/2009 THAT A CUSTOMER HAD AN ISSUE WITH SOME GAUZE. THE CUSTOMER STATED THAT THEY WERE USING THIS GAUZE TO WRAP A HEAL WOUND. THE PATIENT HAD A REACTION, A DERMATITIS OR BLISTERING, ON THE TOP OF THE FOOT. THE CUSTOMER WAS PRESCRIBED KENALOG OINTMENT STEROIDAL CREAM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KERLIX ROLL 8 PLY 4.5IN X 3.1 YD STRL GAUZE NAB COVIDIEN 6716 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN