FDA Adverse Event Other Summary report: N

XPRT 8X8 AMD FOAM DRSG

MDR report key: 3817529 · Received May 8, 2014

Report

Report Number
1018120-2014-00008
Event Type
Other
Date Received
May 8, 2014
Report Date
April 14, 2014
Manufacturer
COVIDIEN
Product Code
FRO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

SUBMIT DATE: (B)(4) 2014. 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) 2014 THAT A CUSTOMER HAD AN ISSUE WITH A FOAM DRESSING. THE CUSTOMER REPORTS THE LEG BECAME VERY RED AND INFLAMED. THE CUSTOMER REPORTS LOPROX CREAM 1% WAS PRESCRIBED BY A PHYSICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
279576 XPRT 8X8 AMD FOAM DRSG FOAM DRESSING FRO COVIDIEN 55588AMDX 130002426862

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN