UNIVERSAL ELECTRODE-PATCH
Report
- Report Number
- 2133409-2026-00043
- Event Type
- Injury
- Date Received
- March 12, 2026
- Date of Event
- March 4, 2026
- Report Date
- March 12, 2026
- Manufacturer
- BRAEMAR MANUFACTURING, LLC
- Product Code
- DRX
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
ON (B)(6) 2026, THE PATIENT CALLED REGARDING RECONNECTING THEIR MCOT DEVICE WITH UNIVERSAL PATCH CONFIGURATION AFTER A BREAK IN SERVICE (BIS) DUE TO SKIN IRRITATION. THE PATIENT EXPERIENCED GENERAL REDNESS, IRRITATION, ITCHING, RAISED SKIN, AND BLISTERS/WELTS WHILE USING THE DEVICE (ELECTRODE LOT # P203827). THE PATIENT SOUGHT MEDICAL TREATMENT FROM A DERMATOLOGIST WHO PRESCRIBED A NON-STEROID CREAM FOR THE IRRITATION.THE PATIENT CONFIRMED THEY HAD FOLLOWED THE RECOMMENDED SKIN PREPARATION STEPS. THE PATIENT HAS A DOCUMENTED HISTORY OF SKIN SENSITIVITY/ALLERGY TO LATEX ADHESIVES. THE PATIENT'S BREAK-IN-SERVICE LASTED APPROXIMATELY 5 DAYS. ENGINEERING EVALUATION WAS UNABLE TO BE PERFORMED AS THE UNIVERSAL ELECTRODE PATCH WAS NOT RETURNED. THE UNIVERSAL PATCH IS SINGLE USE AND DISPOSED AFTER USE; THEREFORE, IT IS NOT LIKELY TO BE RETURNED. ANY SKIN IRRITATION IS MOST PROBABLE TO BE A BIO-INCOMPATIBILITY ISSUE WITH THE ELECTRODE ADHESIVES. MEDICAL ADHESIVE RELATED SKIN INJURY (MARSI) IS LIKELY RELATED TO A BIOCOMPATIBILITY HAZARD MANIFESTING AT THE ELECTRODE'S INTERFACE WITH THE PATIENT'S SKIN. THE FOLLOWING FACTOR WAS IDENTIFIED AND/OR ATTRIBUTED TO ELECTRODE SKIN IRRITATION AND ASSOCIATED SYMPTOMS. THE PATIENT HAS A DOCUMENTED HISTORY OF SKIN SENSITIVITY/ALLERGY TO LATEX ADHESIVES. THE PRODUCT LABELING ADVISED PATIENT OF ALTERNATE OPTIONS AND OTHER STEPS TO TAKE IF SKIN IRRITATION DEVELOPS, INCLUDING HEALTHCARE PROFESSIONAL CONTACT AS NEEDED.
ON (B)(6) 2026, THE PATIENT CALLED REGARDING RECONNECTING THEIR MCOT DEVICE WITH UNIVERSAL PATCH CONFIGURATION AFTER A BREAK IN SERVICE (BIS) DUE TO SKIN IRRITATION. THE PATIENT EXPERIENCED GENERAL REDNESS, IRRITATION, ITCHING, RAISED SKIN, AND BLISTERS/WELTS WHILE USING THE DEVICE (ELECTRODE LOT # P203827). THE PATIENT SOUGHT MEDICAL TREATMENT FROM A DERMATOLOGIST WHO PRESCRIBED A NON-STEROID CREAM FOR THE IRRITATION.THE PATIENT CONFIRMED THEY HAD FOLLOWED THE RECOMMENDED SKIN PREPARATION STEPS. THE PATIENT HAS A DOCUMENTED HISTORY OF SKIN SENSITIVITY/ALLERGY TO LATEX ADHESIVES. THE PATIENT'S BREAK-IN-SERVICE LASTED APPROXIMATELY 5 DAYS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 637909 | UNIVERSAL ELECTRODE-PATCH | ELECTRODE - PATCH - UNIVERSAL 2 CHANNEL | DRX | BRAEMAR MANUFACTURING, LLC | 02-01609 | P203827 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 50 YR | Female | Hospitalization |