FDA Adverse Event Injury Summary report: N

ADAPTIC TOUCH NON-ADHERING SILICONE DRESSING

MDR report key: 4331700 · Received December 3, 2014

Report

Report Number
3007663067-2014-00003
Event Type
Injury
Date Received
December 3, 2014
Date of Event
September 8, 2014
Report Date
October 30, 2014
Manufacturer
SYSTAGENIX WOUND MANAGEMENT MANUFACTURING LIMITED
Product Code
FRO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DRESSING WAS NOT RETURNED TO SYSTAGENIX FOR EVALUATION NOR HAS A LOT NUMBER OF THE DRESSING BEEN PROVIDED. BASED ON INFORMATION PROVIDED, IT CANNOT BE DETERMINED THAT THE ALLEGED MACERATION WAS RELATED TO ADAPTIC TOUCH NON-ADHERING SILICONE DRESSING.

Description of Event or Problem · 1

ON (B)(6) 2014, THE FOLLOWING INFORMATION WAS REPORTED TO SYSTAGENIX BY THE CLINICIAN: THE CLINICIAN ALLEGEDLY OBSERVED " A LOT OF EXUDATE VISIBLE BENEATH THE MESH. THE EXUDATE WAS PREVENTED TO MOVE UPWARDS INTO THE SECONDARY DRESSING DUE TO SMALL HOLES IN THE MESH". ALLEGEDLY, DUE TO "LACK OF EVACUATION OF FLUIDS JAMMED INTO THE WOUND GROUND", THE WOUND BECAME MACERATED. MECHANICAL DEBRIDEMENT WAS PERFORMED ON THE "SEVERELY LIVID" MACERATED SKIN. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
779521 ADAPTIC TOUCH NON-ADHERING SILICONE DRESSING FRO SYSTAGENIX WOUND MANAGEMENT MANUFACTURING LIMITED

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention