FDA Adverse Event Injury Summary report: N

CELOX GAUZE

MDR report key: 16372059 · Received February 14, 2023

Report

Report Number
3003188818-2023-00001
Event Type
Injury
Date Received
February 14, 2023
Date of Event
December 23, 2022
Report Date
February 14, 2023
Manufacturer
MEDTRADE PRODUCTS LIMITED
Product Code
FRO
PMA / PMN Number
K080097
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

CELOX GAUZE IS CLEARED AS A TEMPORARY EXTERNAL USE DEVICE. THE DEVICE HAS BEEN USED OFF-LABEL AND CAUSE OF THE EVENT CANNOT BE ESTABLISHED AS DEVICE RELATED. NOTE: THIS MODEL IS NOT SOLD IN THE USA BUT HAS THE SAME COMPOSITION AS A PRODUCT THAT IS SOLD INTO THE USA UNDER K080097.

Description of Event or Problem · 0

THE REPORT IDENTIFIED 1 PATIENT THAT WAS DIAGNOSED WITH PULMONARY VENOUS CONGESTION WITH BILATERAL SEROUS PLEURAL EFFUSION WITH PARTIAL ATELECTASIS AFTER TREATMENT OF POST-PARTUM HAEMORRHAGE USING A CELOX GAUZE PRODUCT WITH LATEST DEVELOPMENT FROM (B)(6) 2023 PERSISTENT ACUTE RENAL INSUFFICIENCY REQUIRING DIALYSIS, PLEURAL EFFUSION ON BOTH SIDES POST-PARTUM HAEMORRHAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1388744 CELOX GAUZE HEMOSTATIC FRO MEDTRADE PRODUCTS LIMITED

Patients

Seq Age Sex Outcome Treatment
1 30 YR Female Other