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