FDA Adverse Event
Malfunction
Summary report: N
SPECIALIST(R) STERILE COTTON BLEND STERILE CAST PADDING
MDR report key: 21911764
·
Received April 25, 2025
Report
- Report Number
- MW5169527
- Event Type
- Malfunction
- Date Received
- April 25, 2025
- Date of Event
- April 18, 2025
- Report Date
- April 21, 2025
- Manufacturer
- BSN MEDICAL, INC.
- Product Code
- ITG
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NC, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE PROVIDER HAD SIGNIFICANT ISSUES WITH THE STERILE 4X4 HONEYCOMB SPECIALIST COTTON BLEND CAST PADDING REF # 72345-02. THE HONEYCOMB PADDING WAS DISINTEGRATING WHEN BEING APPLIED TO THE KNEE. THIS IS THE CAST PADDING SIZE 6" STERILE CAST PADDING. PROVIDER STATES "IT DISINTEGRATES" AND IS "NOT ACCEPTABLE".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1428357 | SPECIALIST(R) STERILE COTTON BLEND STERILE CAST PADDING | BANDAGE, CAST | ITG | BSN MEDICAL, INC. | 72345-02 | 318326 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |