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 |