BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDVANCE SILICONE FOAM, BOARDERED SILICONE FOAM DRESSING

    MDR report key: 17070948 · Received June 5, 2023

    Report

    Report Number
    MW5118177
    Event Type
    Injury
    Date Received
    June 5, 2023
    Date of Event
    April 23, 2023
    Report Date
    June 1, 2023
    Manufacturer
    MED WAY INC.
    Product Code
    NAD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    WERE HURT OR HAD A BAD SIDE EFFECT (INCLUDING NEW OR WORSENING SYMPTOMS. HOSPITALIZATION), - ADMITTED OR STAYED LONGER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1093511 MEDVANCE SILICONE FOAM, BOARDERED SILICONE FOAM DRESSING DRESSING, WOUND, OCCLUSIVE NAD MED WAY INC. 20211125

    Patients

    Seq Age Sex Outcome Treatment
    1 95 YR Female Hospitalization| S| L