FDA Adverse Event Injury Summary report: N

TRAXI PANNICULUS RETRACTOR

MDR report key: 14211263 · Received April 26, 2022

Report

Report Number
1722684-2022-00002
Event Type
Injury
Date Received
April 26, 2022
Date of Event
April 1, 2022
Report Date
April 19, 2022
Manufacturer
CLINICAL INNOVATIONS LLC.
Product Code
HDL
UDI-DI
00814247020345
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

"PATIENT EXPERIENCED TWO SMALL AREAS OF SKIN BREAKDOWN AND DISCOMFORT UPON REMOVAL OF TRAXI. PEELING SKIN AND BURNING IN THOSE AREAS WHEN SHOWERING."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1539646 TRAXI PANNICULUS RETRACTOR TRAXI HDL CLINICAL INNOVATIONS LLC. PRS-1030 M44919 00814247020345

Patients

Seq Age Sex Outcome Treatment
1 Unknown