BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALLEVYN LIFE SACRUM

    MDR report key: 6120048 · Received November 22, 2016

    Report

    Report Number
    8043484-2016-00165
    Event Type
    Injury
    Date Received
    November 22, 2016
    Date of Event
    September 14, 2016
    Report Date
    November 10, 2016
    Manufacturer
    SMITH & NEPHEW MEDICAL LTD.
    Product Code
    NAD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED UPON REMOVAL OF DRESSING IT WAS NOTED SILICONE ADHESIVE RESIDUE ON PERI WOUND SKIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    770463 ALLEVYN LIFE SACRUM DRESSING,WOUND,OCCLUSIVE NAD SMITH & NEPHEW MEDICAL LTD. 66801306 1534

    Patients

    Seq Age Sex Outcome Treatment
    1