FDA Adverse Event Other Summary report: N

BIOPATCH, UNKNOWN SIZE/PRODUCT ID

MDR report key: 4663606 · Received March 31, 2015

Report

Report Number
2648988-2015-00029
Event Type
Other
Date Received
March 31, 2015
Report Date
January 29, 2015
Manufacturer
INTEGRA NEUROSCIENCES PR
Product Code
FRO
PMA / PMN Number
K003229
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INTEGRA HAS COMPLETED THEIR INTERNAL INVESTIGATION ON 27MAR2015. NO PRODUCT WAS RETURNED FOR EVAL. NO SPECIFIC PRODUCT FG LOT NUMBER WAS INVOLVED IN THE COMPLAINT. INTEGRA DOES NOT OWN THE LABELING FOR BIOPATCH PRODUCTS. CHANGES TO PRODUCT LABELING WERE IMPLEMENTED AT THE REQUEST OF ETHICON, INC. THE PROPOSED CHANGES DID NOT CONSTITUTE CHANGES OR MODIFICATIONS THAT COULD SIGNIFICANTLY AFFECT THE SAFETY OR EFFECTIVENESS OF THE DEVICE. ALL ARTWORK USED FOR LABELING PURPOSES IS PROVIDED BY ETHICON, INC. THE PRODUCT'S INSTRUCTIONS FOR USE WARN AGAINST USE OF DEVICE ON PT WITH A KNOWN SENSITIVITY TO CHLORHEXIDINE GLUCONATE AND INDICATE WHAT TO DO IN CASE OF ANY ADVERSE REACTION TO THE DRUG.

Description of Event or Problem · 1

THE CUSTOMER (PHARMACIST) HAD A CONCERN REGARDING THE BIOPATCH WITH "CHG" LABEL. THE LABEL DOES NOT CONTAIN THE DRUG NAME CHLORHEXIDINE CLEARLY. "CONSIDERING THAT THERE ARE PT'S W/AN ALLERGY TO THIS DRUG, PRESCRIBERS AND NURSES WOULD NOT KNOW THAT THIS DRUG WOULD CAUSE PROBLEMS SINCE THE DRUG NAME IS NOT CLEARLY STATED ANYWHERE THAT IS READILY VISIBLE TO A PRACTITIONER". THERE WAS NO PT INVOLVEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
210709 BIOPATCH, UNKNOWN SIZE/PRODUCT ID ANTIMICROBIAL PRODUCTS FRO INTEGRA NEUROSCIENCES PR

Patients

Seq Age Sex Outcome Treatment
1