BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIQUID BANDAGE

    MDR report key: 1772200 · Received July 1, 2010

    Report

    Report Number
    MW5016836
    Event Type
    Injury
    Date Received
    July 1, 2010
    Date of Event
    December 7, 2009
    Report Date
    July 1, 2010
    Manufacturer
    CYBERBOND
    Product Code
    KMF
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER USED THE (B)(4) LIQUID BANDAGE APPLICATOR -12- - (B)(4) AND UPC NUMBER 31191706005, AND CLAIMS TO HAVE A TOE AMPUTATED DUE TO AN INFECTION. DOSE: 2 DROPS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIQUID BANDAGE LIQUID BANDAGE KMF CYBERBOND

    Patients

    Seq Age Sex Outcome Treatment
    1