FDA Adverse Event Malfunction Summary report: N

EQUOS BORDERED GAUZE 4X114

MDR report key: 2466041 · Received February 9, 2012

Report

Report Number
3006475494-2012-00006
Event Type
Malfunction
Date Received
February 9, 2012
Date of Event
November 1, 2011
Report Date
November 14, 2011
Manufacturer
BRADY TECHNOLOGY WUXI CO. LTD.
Product Code
FQM
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

BANDAGES DID NOT ADHERE TO THE PTS AS WELL AS THEY HAD PREVIOUSLY AND THE ADHESIVES ON THE BANDAGES GAVE PTS SKIN BLISTERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EQUOS BORDERED GAUZE 4X114 BORDERED GAUZE BANDAGE 4X14 FQM BRADY TECHNOLOGY WUXI CO. LTD. 19867241

Patients

Seq Age Sex Outcome Treatment
1