FDA Adverse Event Other Summary report: N

OCL 22" LONG

MDR report key: 187720 · Received September 15, 1998

Report

Report Number
1928508-1998-00001
Event Type
Other
Date Received
September 15, 1998
Report Date
September 11, 1998
Manufacturer
M-PACT WORLDWIDE MANAGEMENT
Product Code
FYH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PHYSICIAN CLAIMS THAT USE OF "SUGAR TONG SPLINT" CAUSED SEVERE CONTACT DERMATITIS ON HIS PATIENT. THE DERMATITIS WAS SO SEVERE THAT IT WAS MORE LIKE A BURN. PHYSICIAN BELIEVES THE INNER CORE MATERIAL IS THE PROBLEM, NOT THE FOAM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OCL 22" LONG SUGAR TONG SPLINT FYH M-PACT WORLDWIDE MANAGEMENT NI NI

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other