FDA Adverse Event
Injury
Summary report: N
STERICARE STERILE 0.9% SALINE SOLUTION - 1000ML
MDR report key: 18300730
·
Received December 8, 2023
Report
- Report Number
- MW5149040
- Event Type
- Injury
- Date Received
- December 8, 2023
- Date of Event
- May 23, 2023
- Report Date
- November 7, 2023
- Manufacturer
- NURSE ASSIST, LLC
- Product Code
- FRO
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I USED THE NURSE ASSIST LLC STERILE SALINE PRODUCT TO IRRIGATE A SEROMA IN MY ABDOMEN FROM (B)(6) OF 2023. I HAVE SINCE HAD 3 DÉBRIDEMENT SURGERIES TO CLEAR DAMAGED TISSUE FROM MY WOUND. I HAD TWO AS AN OUT PATIENT AND THE MOST RECENT INPATIENT. THEY ONLY DID A CULTURE ON THE MOST RECENT AND IT GREW OUT MRSA (METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS). I HAVE BEEN PROGRESSIVELY SICKER SINCE MAY. SIGNIFICANT PHYSICAL DETERIORATION SINCE (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1844649 | STERICARE STERILE 0.9% SALINE SOLUTION - 1000ML | DRESSING, WOUND, DRUG | FRO | NURSE ASSIST, LLC | 6281 | 23034968 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Male | Hospitalization| L| R| S |