BEUDAMED
    FDA Adverse Event Other Summary report: N

    PREMIUM WET TRAY - LATEX-FREE

    MDR report key: 491497 · Received October 16, 2003

    Report

    Report Number
    1417592-2003-00030
    Event Type
    Other
    Date Received
    October 16, 2003
    Date of Event
    December 3, 2002
    Report Date
    October 16, 2003
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    LRO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY A PT RECEIVED A SKIN INJURY POTENTIALLY RELATED TO CONTACT WITH POVIDONE IODINE SOLUTION. THE PT REQUIRED WOUND CARE TREATMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PREMIUM WET TRAY - LATEX-FREE POVIDONE IODINE IN WET TRAY LRO MEDLINE INDUSTRIES, INC. DYND70660 02AC00011

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other