FDA Adverse Event
Other
Summary report: N
MEDIUM SLIP ON BRIEF
MDR report key: 3463490
·
Received November 5, 2013
Report
- Report Number
- 1033903-2013-00001
- Event Type
- Other
- Date Received
- November 5, 2013
- Report Date
- October 15, 2013
- Manufacturer
- COVIDIEN
- Product Code
- EYQ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.
Description of Event or Problem · 1
IT WAS REPORTED TO COVIDIEN ON (B)(6) 2013 THAT A CUSTOMER HAD AN ISSUE WITH A BRIEF. THE CUSTOMER STATES THAT SHE RECEIVED A RASH FROM THE USE OF THE PRODUCT AND IT CAUSED HER TO HAVE A BLADDER INFECTION. THE CUSTOMER FURTHER REPORTS THAT SHE WENT TO HER DOCTOR WHO PRESCRIBED HER CIPROFLOXACIN ORALLY 50 MG AND NYSTATIN OINTMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 569485 | MEDIUM SLIP ON BRIEF | BRIEF | EYQ | COVIDIEN | 1605 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |