FDA Adverse Event Injury Summary report: N

SOLUTION,SALINE,IRRGATION,100ML,STRL

MDR report key: 19173701 · Received April 24, 2024

Report

Report Number
1417592-2024-00543
Event Type
Injury
Date Received
April 24, 2024
Date of Event
March 27, 2024
Report Date
April 24, 2024
Manufacturer
MEDLINE INDUSTRIES LP
Product Code
FRO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ACCORDING TO THE REPORTER, "SHE UNDERWENT A TUMMY-TUCK AND LIPOSUCTION PROCEDURE. SHE DEVELOPED COMPLICATIONS FROM THE SURGERY (HEMATOMA, SEROMA, PAIN, ETC) AND UNDERWENT A SECOND SURGERY FOR REPAIR (TISSUE REMOVAL). SHE WAS USING THE MEDLINE SALINE SOLUTION FOR WOUND-PACKING AND CARE AND NOTICED BLISTERING ABOVE HER WOUND. SHE EMERGENTLY WENT TO THE HOSPITAL AND WAS FOUND TO HAVE A BACTERIAL INFECTION OF HER ABDOMINAL WOULD-POCKET FILLED WITH PUS, BLOOD, AND FLUIDS. THE WOUND HAD TO BE DRAINED AND CLEANED. THE INFECTION WAS A RESULT OF USING NON-STERILE SALINE SOLUTION. THE REPORTER ALSO STATED THAT "THERE IS A DEEP HOLE WHERE THE INFECTION WAS IN HER ABDOMEN AND CONTINUES TO EXPERIENCE SEVERE PAIN, SUFFERING, AND DEPRESSION". THERE IS NO SAMPLE FOR EVALUATION. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY REQUIRING MEDICAL INTERVENTION, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem · 0

ACCORDING TO THE REPORTER, "SHE UNDERWENT A TUMMY-TUCK AND LIPOSUCTION PROCEDURE. SHE DEVELOPED COMPLICATIONS FROM THE SURGERY (HEMATOMA, SEROMA, PAIN, ETC) AND UNDERWENT A SECOND SURGERY FOR REPAIR (TISSUE REMOVAL). SHE WAS USING THE MEDLINE SALINE SOLUTION FOR WOUND-PACKING AND CARE AND NOTICED BLISTERING ABOVE HER WOUND. SHE EMERGENTLY WENT TO THE HOSPITAL AND WAS FOUND TO HAVE A BACTERIAL INFECTION OF HER ABDOMINAL WOULD-POCKET FILLED WITH PUS, BLOOD, AND FLUIDS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1382148 SOLUTION,SALINE,IRRGATION,100ML,STRL FRO MEDLINE INDUSTRIES LP

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other