FDA Adverse Event Injury Summary report: N

BIATAIN SUPER, ADH 10X10

MDR report key: 5305180 · Received December 16, 2015

Report

Report Number
9610694-2015-00001
Event Type
Injury
Date Received
December 16, 2015
Report Date
December 16, 2015
Manufacturer
COLOPLAST A/S
Product Code
MGP
PMA / PMN Number
K983163
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

WITHOUT THE BENEFIT OF EXAMINATION AND TESTING, COLOPLAST IS PRECLUDED FROM COMMENTING ON THE CONDITION OF THE DEVICE OR THE CAUSE OF THE OCCURRENCE, SHOULD ADDITIONAL FACTS PROMPT US TO ALTER OR SUPPLEMENT ANY INFORMATION OF CONCLUSIONS CONTAINED IN THE ORIGINAL MDR OR IN ANY PRIOR SUPPLEMENTAL REPORTS, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

ACCORDING TO THE INFORMATION RECEIVED, PRODUCT DELAMINATION, ALSO SKIN BLISTERED UNDER DRESSING. WE WERE TREATING BOTH PRESSURE SORES WITH HONEY AS A PRIMARY AND BIATAIN AS A SECONDARY DRESSING WHICH WAS MANAGING THE EXUDATE WELL. HIS SKIN CAME OFF WHEN I REMOVED THE DRESSING ON HIS LEFT FOOT AND THE CENTRE OF THE DRESSING HAD STUCK TO HIS SKIN AND HAD COME AWAY FROM THE TOP LAYER . HE MUST HAVE BLISTERED BENEATH THE DRESSING. THE BLISTERED AREAS HAVE NOW HEALED WELL AND WE HAVE NOT APPLIED AN ADHESIVE MATERIAL TO HIS LEGS SINCE. TREATMENT WAS WITH A NON-ADHERENT WOUND CONTACT LAYER AND ABSORBENT PAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
828932 BIATAIN SUPER, ADH 10X10 DRESSING, WOUND AND BURN, OCCLUSIVE MGP COLOPLAST A/S 0461001006

Patients

Seq Age Sex Outcome Treatment
1 Congenital Anomaly| O