FDA Adverse Event Injury Summary report: N

3M TEGADERM CHG DRESSING

MDR report key: 3911595 · Received June 27, 2014

Report

Report Number
2110898-2014-00049
Event Type
Injury
Date Received
June 27, 2014
Report Date
June 20, 2014
Manufacturer
3M HEALTH CARFE
Product Code
FRO
PMA / PMN Number
K080620
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CONCLUSIONS: DEVICE NOT RETURNED NO EVALUATION CAN BE PERFORMED. COMPLAINT TYPE IS BEING MONITORED AND ANALYZED. TEGADERM CHG COMPLAINTS ARE SIGNIFICANTLY REDUCING BASED ON NUMBER OF UNITS SOLD. THE 3M'S UPDATES TO THE PACKAGE INSERT, ADDITIONAL INSTRUCTION SHEETS, AND EDUCATIONAL PROGRAMS ARE BEING EFFECTIVE IN ENSURING OPTIMAL USE OF THE PRODUCT.

Description of Event or Problem · 1

LITERATURE REPORTED (B)(6) YEAR OLD MALE ICU PATIENT WITH LEFT GROIN, LEFT NECK AND RIGHT WRIST CENTRAL VENOUS CATHETER SITES. REPORTED TEGADERM CHG DRESSING COVERED CATHETER SITES. LITERATURE REPORTED CATHETER SITE EROSIVE LESIONS AT LEFT GROIN, LEFT NECK AND RIGHT WRIST AT 8 DAYS POST INSERTION. CULTURES NEGATIVE, WOUND CARE TREATMENT REPORTED AS LEFT FEMORAL CAC REMOVAL, TOPICAL ANTIBIOTICS, NONADHERENT DRESSINGS AND PAPER TAPE. LESIONS RESOLVED IN NON SPECIFIED AMOUNT OF DAYS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
376344 3M TEGADERM CHG DRESSING UNCLASSIFIED - DRESSING, WOUND, DRUG FRO 3M HEALTH CARFE NA UNK

Patients

Seq Age Sex Outcome Treatment
1 62 YR Required Intervention