FDA Adverse Event Injury Summary report: N

COMFEEL ULCER DRESSING PLUS, 10X10 DE

MDR report key: 1733899 · Received June 23, 2010

Report

Report Number
3006606901-2010-00008
Event Type
Injury
Date Received
June 23, 2010
Date of Event
April 1, 2010
Report Date
May 26, 2010
Manufacturer
COLOPLAST A/S
Product Code
KMF
PMA / PMN Number
K941263
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

6 DRESSINGS WERE RECEIVED FOR EVALUATION. AS WELL, A PRODUCTION REVIEW WAS CONDUCTED OF THE LOT HISTORY RECORDS. THE REVIEW CONCLUDED THAT THE PRODUCT CONFORMED TO SPECIFICATIONS. THE LOT HISTORY RECORDS DID NOT REVEAL ANY NONCONFORMANCES OR DEVIATIONS RELATED TO THIS COMPLAINT. SHOULD SENSITIVITY TESTING BE CONDUCTED AND RESULTS AVAILABLE, AN UPDATED REPORT WILL BE FILED. TO DATE, THERE HAVE BEEN NO ADDITIONAL COMPLAINTS FOR THIS LOT NUMBER.

Description of Event or Problem · 1

(B)(4).ACCORDING TO THE INFORMATION RECEIVED, A PATIENT WHO HAD USED COMFEL ULCER DRESSING PLUS FOR 12 MONTHS WITHOUT ANY PROBLEMS, EXPERIENCED SKIN IRRITATION/REACTION ABOUT 12-36 HOURS AFTER APPLICATION: VERY RED SKIN, HEAVY PAIN, ENLARGEMENT OF EXISTING ULCERS. THE CONDITION WAS ACUTE FOR 3 DAYS AND TREATMENT INCLUDED DRESSING REMOVAL, PHYSICAL ACTIVITIES SUCH AS COOLING, AND PREDNISOLON 50MG FOR 5 DAYS. THE ADVERSE REACTION HAS SINCE DISAPPEARED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMFEEL ULCER DRESSING PLUS, 10X10 DE WOUND DRESSING KMF COLOPLAST A/S 2261002

Patients

Seq Age Sex Outcome Treatment
1 79 YR Required Intervention