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