FDA Adverse Event Injury Summary report: N

OCL SPLINT ROLL

MDR report key: 348388 · Received August 21, 2001

Report

Report Number
1928508-2001-00002
Event Type
Injury
Date Received
August 21, 2001
Date of Event
July 1, 2001
Report Date
August 16, 2001
Manufacturer
M-PACT WORLDWIDE MGMT. CORP.
Product Code
LGH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

SECOND DEGREE BURNS ALONG SEAM OF SPLINT ON FOREARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
38129 OCL SPLINT ROLL PLASTER SPLINT LGH M-PACT WORLDWIDE MGMT. CORP. SR615 NR

Patients

Seq Age Sex Outcome Treatment
1 77 YR Required Intervention TRAY AND PAD (2001 TO 2001 (STOP'D)).