FDA Adverse Event
Malfunction
Summary report: N
POWER FLEX MED/SELF-ADHERING ELASTIC BANDAGE
MDR report key: 5700329
·
Received June 2, 2016
Report
- Report Number
- MW5062654
- Event Type
- Malfunction
- Date Received
- June 2, 2016
- Date of Event
- May 11, 2016
- Report Date
- May 25, 2016
- Manufacturer
- ANDOVER HEALTHCARE, INC.
- Product Code
- FQM
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NJ, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
THE WRAP HAS A NOXIOUS ODOR, PERHAPS PETROLEUM BASED? IT WAS SO STRONG, I HAD TO REMOVE THE WRAP AND THE CLOTHES OVER IT. MY EYES STUNG THERE WAS NO WARNING REGARDING USE OVER NON-INTACT SKIN OR ANY OTHER SITUATION. ANYTHING THAT SMELLS THAT BADLY, MUST HAVE TO BE DETOXIFIED BY THE LIVER OR KIDNEY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 348567 | POWER FLEX MED/SELF-ADHERING ELASTIC BANDAGE | POWER FLEX MED/SELF-ADHERING ELASTIC BANDAGE | FQM | ANDOVER HEALTHCARE, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR |