BEUDAMED
    FDA Adverse Event Summary report: N

    XEROFRM GZE 1X8 PTCH FOIL PK STRL

    MDR report key: 479871 · Received August 22, 2003

    Report

    Report Number
    1314412-2003-00003
    Date Received
    August 22, 2003
    Date of Event
    June 27, 2003
    Report Date
    August 22, 2003
    Manufacturer
    TYCO HEALTHCARE/KENDALL
    Product Code
    MGB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL IN 7/2003 THAT IT WAS NECESSARY TO PUT A PT UNDER ANESTHESIA TO REMOVE XEROFORM GAUZE THAT WAS ADHERING TO A FRESH CIRCUMCISION SITE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 XEROFRM GZE 1X8 PTCH FOIL PK STRL WOUND DRESSING MGB TYCO HEALTHCARE/KENDALL * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 5 YR Required Intervention