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