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