FDA Adverse Event Injury Summary report: N

TEGADERM CHG DRESSING

MDR report key: 2190282 · Received July 25, 2011

Report

Report Number
2110898-2011-00091
Event Type
Injury
Date Received
July 25, 2011
Date of Event
March 23, 2011
Report Date
April 7, 2011
Manufacturer
3M HEALTH CARE
Product Code
FRO
PMA / PMN Number
K080620
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

CONCLUSIONS: DEVICE NOT RETURNED, NO EVAL CAN BE PERFORMED. DEVICE NOT PROVIDED TO MFR FOR EVAL. COMPLAINT TYPE IS BEING MONITORED AND ANALYZED. (B)(4). 3M'S UPDATES TO THE PACKAGE INSERT, ADD'L INSTRUCTION SHEETS, AND EDUCATIONAL PROGRAMS ARE BEING EFFECTIVE IN ENSURING OPTIMAL USE OF THE PRODUCT. THE INSERT PROVIDES THE FOLLOWING INFO ON SITE CARE: THE SITE SHOULD BE OBSERVED DAILY FOR SIGNS OF INFECTION OR OTHER COMPLICATIONS. IF INFECTION IS SUSPECTED, REMOVE THE DRESSING, INSPECT THE SITE DIRECTLY, AND DETERMINE APPROPRIATE MEDICAL INTERVENTION. INFECTION MAY BE SIGNALED BY FEVER, PAIN, REDNESS, SWELLING, OR UNUSUAL ODOR OR DISCHARGE. INSPECT THE DRESSING DAILY AND CHANGE THE DRESSING AS NECESSARY, IN ACCORDANCE WITH FACILITY PROTOCOL. DRESSING CHANGES SHOULD OCCUR AT LEAST EVERY 7 DAYS, PER CURRENT CDC RECOMMENDATIONS AND MAY BE NEEDED MORE FREQUENTLY WITH HIGHLY EXUDATIVE SITES OR IF INTEGRITY OF THE DRESSING IS COMPROMISED. THE TEGADERM (TM) CHG DRESSING SHOULD BE CHANGED AS NECESSARY IF THE DRESSING BECOMES LOOSE, SOILED OR COMPROMISED IN ANY WAY. IF THE SITE IS OBSCURED OR NO LONGER VISIBLE. IF THERE IS VISIBLE DRAINAGE OUTSIDE THE GEL PAD. IF THE DRESSING APPEARS TO BE SATURATED OR OVERLY SWOLLEN.

Description of Event or Problem · 1

THIRD DRESSING WAS APPLIED TO PICC CATHETER SITE ON (B)(6). CATHETER SITE DIN HOLE WAS BIGGER THAN LINE AND REDDENED. NO EXUDATE, CLEAN SITE, NO DISCHARGE. ON (B)(6), THE HOLE APPEARED BIGGER AND THERE WAS REDDENING BENEATH THE CHG GEL PAD. SOME OOZING WAS OBSERVED; INFECTION SUSPECTED, ANTIBIOTICS COMMENTED. CHG DRESSING WAS REMOVED AND REPLACED WITH GAUZE AND IV3000. CATHETER WAS REMOVED ON MARCH 23RD AS A RESULT OF THIS INCIDENT. OUTCOME OF THE INCIDENT IS IMPROVING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TEGADERM CHG DRESSING UNCLASSIFIED - DRESSING, WOUND, DRUG FRO 3M HEALTH CARE 1657R 2012-06AB

Patients

Seq Age Sex Outcome Treatment
1 Other STAT-LOCK