FDA Adverse Event Injury Summary report: N

DERMABOND 2

MDR report key: 2840442 · Received November 20, 2012

Report

Report Number
2210968-2012-07520
Event Type
Injury
Date Received
November 20, 2012
Report Date
November 1, 2012
Manufacturer
ETHICON, INC.
Product Code
MPN
PMA / PMN Number
P960052
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CONCLUSION: THE DEVICE INFORMATION FOR USE WARNS "WHEN CLOSING FACIAL WOUNDS NEAR THE EYE WITH DERMABOND ADHESIVE, POSITION THE PATIENT SO THAT ANY RUNOFF OF ADHESIVE IS AWAY FROM THE EYE. THE EYE SHOULD BE CLOSED AND PROTECTED WITH GAUZE. PROPHYLACTIC PETROLEUM JELLY AROUND THE EYE AROUND THE EYE, TO ACT AS A MECHANICAL BARRIER OR DAM, CAN BE EFFECTIVE IN PREVENTING INADVERTENT FLOW OF ADHESIVE INTO THE EYE."

Description of Event or Problem · 1

IT WAS REPORTED THAT A PEDIATRIC PATIENT WAS SEEN IN THE EMERGENCY ROOM FOR A LACERATION. THE LACERATION WAS CLOSED USING TOPICAL SKIN ADHESIVE. WHILE APPLYING, SOME OF THE ADHESIVE GOT INTO THE PATIENT'S EYE. THE PATIENT WAS REFERRED TO AN OPHTHALMOLOGY CLINIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DERMABOND 2 ADHESIVE, TOPICAL SKIN MPN ETHICON, INC. NA NI

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention