FDA Adverse Event
Injury
Summary report: N
LIQUIBAND OCTYL MINI
MDR report key: 14580159
·
Received June 2, 2022
Report
- Report Number
- 9617175-2022-00027
- Event Type
- Injury
- Date Received
- June 2, 2022
- Report Date
- June 2, 2022
- Manufacturer
- ADVANCED MEDICAL SOLUTIONS LTD
- Product Code
- MPN
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
UNKNOWN IF DEVICE CAUSED OR CONTRIBUTED TO A SERIOUS INJURY. THERE IS A SMALL PERCENTAGE OF THE POPULATION WITH A NATURAL SENSITIVITY TO CYANOACRYLATE ADHESIVE. THIS IS STATED IN THE INSTRUCTIONS FOR USE (IFU).
Description of Event or Problem · 0
PATIENTS ARE ITCHING AND BREAKING OUT. WE HAVE ORDERED A LOT OF MEDROL DOSE PACKS FOR EXTREME REACTIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1978581 | LIQUIBAND OCTYL MINI | TOPICAL SKIN ADHESIVE | MPN | ADVANCED MEDICAL SOLUTIONS LTD | 72014023 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |