FDA Adverse Event Injury Summary report: N

TIPSTOP US

MDR report key: 3032825 · Received March 1, 2013

Report

Report Number
9615764-2013-00001
Event Type
Injury
Date Received
March 1, 2013
Date of Event
May 25, 2012
Report Date
January 30, 2013
Manufacturer
PLASTO TECHNOLOGIES
Product Code
KMF
PMA / PMN Number
K982818
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TIPSTOP WAS DISCARDED AND NOT AVAILABLE FOR ANALYSIS. REVIEW OF THE COMPLAINT HISTORY RECORDS CONCLUDES THERE ARE NO SIMILAR COMPLAINTS RELATED TO TIPSTOP GLOBALLY EXCEPT THE THREE FROM THIS FACILITY. THE TIPSTOP LABELING STATES "TIPSTOP IS NOT INTENDED AS A LONG-TERM DRESSING. ONCE HEMOSTASIS IS ACHIEVED, TIPSTOP SHOULD BE REMOVED BETWEEN 2 TO 4 HOURS AFTER PLACEMENT." THIS FACILITY INSTRUCTED THE PATIENT TO KEEP THE DRESSING ON FOR 24 HOURS. PLASTO DOES NOT REGARD THE SUBMITTAL OF THIS REPORT AS AN ADMISSION OF CAUSATION OR LIABILITY.

Description of Event or Problem · 1

GAMBRO LEARNED THAT FOLLOWING AN ANGIOPLASTY, A PATIENT DEVELOPED A BLISTER AT THE SITE OF THE ALGINATE PAD ON OF THE TIPSTOP COMPRESSION DRESSING WITHIN 24 HOURS OF APPLICATION. THE PATIENT WAS INSTRUCTED BY THE FACILITY TO REMOVE THE TIPSTOP DRESSING IN 24 HOURS. ACCORDING TO THE NURSE MANAGER, THE PATIENT REQUIRED A SURGICAL INTERVENTION TO REMOVE THE SKIN AROUND THE INFECTED AREA. THE TIPSTOP LABELING STATES "TIPSTOP IS NOT INTENDED AS A LONG-TERM DRESSING. ONCE HEMOSTASIS IS ACHIEVED, TIPSTOP SHOULD BE REMOVED BETWEEN 2 TO 4 HOURS AFTER PLACEMENT."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
90672 TIPSTOP US KMF PLASTO TECHNOLOGIES TIPSTOP US 2012E140048

Patients

Seq Age Sex Outcome Treatment
1 38 YR Required Intervention