FDA Adverse Event
Injury
Summary report: N
PICO SINGLE USE NPWT 10 X 20CM
MDR report key: 4882503
·
Received July 1, 2015
Report
- Report Number
- 8043484-2015-00055
- Event Type
- Injury
- Date Received
- July 1, 2015
- Date of Event
- November 24, 2014
- Report Date
- November 24, 2014
- Manufacturer
- SMITH & NEPHEW MEDICAL LTD.
- Product Code
- OMP
- PMA / PMN Number
- K112127
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT PICO HAD POSSIBLY CAUSED MACERATION TO A TIP OF A PATIENTS BIG TOE (LEFT FOOT), WHICH WAS ON THE TOE FOR A CAVITY FURTHER DOWN ON THE ANTERIOR ASPECT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 424519 | PICO SINGLE USE NPWT 10 X 20CM | NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP | OMP | SMITH & NEPHEW MEDICAL LTD. | 66800951 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |