FDA Adverse Event
Injury
Summary report: N
DELTA-CAST SERENE
MDR report key: 22572685
·
Received July 22, 2025
Report
- Report Number
- 1038963-2025-00002
- Event Type
- Injury
- Date Received
- July 22, 2025
- Date of Event
- June 27, 2025
- Report Date
- November 13, 2025
- Manufacturer
- BSN MEDICAL INC.
- Product Code
- LGH
- UDI-DI
- 04042809876253
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BE
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
PRODUCT HAS BEEN REQUESTED FOR EVALUATION.
Additional Manufacturer Narrative · 0
AFTER RECEIPT, DEVICE WAS SENT TO THE CONTRACT MANUFACTURER FOR THE EVALUATION ON OCT 23,2025. CONTRACT MANUFACTURER COMPLETED DEVICE EVALUATION ON OCT 29, 2025. EVALUATION REPORT WAS ISSUED ON OCT 31, 2025. THE REPORT INDICATES DEVICE FUNCTIONED AS EXPECTED. NO IRREGULARITIES WERE OBSERVED.
Description of Event or Problem · 0
WHILE REMOVING A CAST USING THE DELTA CAST SERENE CAST REMOVER, THE PATIENT SUSTAINED AN INJURY TO THE INNER PART OF THE ARM, SLIGHTLY ABOVE THE ELBOW CREASE. THE CUT WAS MADE ON A CURVED AND SENSITIVE AREA, WHICH CONTRIBUTED TO THE INJURY. THE CAST REMOVER CAUSED A WOUND THAT REQUIRED SIX STITCHES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1870666 | DELTA-CAST SERENE | CAST REMOVER | LGH | BSN MEDICAL INC. | 76289-08 | 00421 | 04042809876253 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Male | Required Intervention |