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 |