FDA Adverse Event Injury Summary report: N

DERMABOND TOPICAL SKIN ADHESIVE

MDR report key: 7164439 · Received January 4, 2018

Report

Report Number
2210968-2018-70047
Event Type
Injury
Date Received
January 4, 2018
Report Date
December 18, 2017
Manufacturer
ETHICON INC.
Product Code
MPN
PMA / PMN Number
K100423
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). REFERENCE JOURNAL ARTICLE: "TITLE: CONTACT DERMATITIS FROM DERMABOND¿; CITATION: PLASTIC AND RECONSTRUCTIVE SURGERY, JUNE 2010: 125(6):252E-253E. HTTP://JOURNALS.LWW.COM/PLASRECONSURG/FULLTEXT/2010/06000/CONTACT_DERMATITIS_FROM_DERMABOND.58.ASPX.

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE THAT A PATIENT UNDERWENT A SCAR REVISION PROCEDURE OF AN ABDOMINOPLASTY ON AN UNKNOWN DATE AND TOPICAL SKIN ADHESIVE WAS USED. THE PATIENT PRESENTED ON POST OPERATIVE DAY 7 WITH PRURITIC ERYTHEMA EXTENDING ALONG THE SURGICAL SCARS BILATERALLY. THE TOPICAL SKIN ADHESIVE WAS REMOVED AND THE RASH WAS TREATED WITH TOPICAL STEROIDS. HER SYMPTOMS DISSIPATED WITHIN SEVERAL DAYS. THREE WEEKS AFTER RESOLUTION OF THE ERYTHEMA, THE PATIENT UNDERWENT A TEST PATCH APPLICATION OF THE TOPICAL SKIN ADHESIVE TO HER LEFT FOREARM THAT RESULTED IN A LOCALIZED ERYTHEMATOUS PRURITIC REACTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
8094 DERMABOND TOPICAL SKIN ADHESIVE TOPICAL SKIN ADHESIVE MPN ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1 55 YR Required Intervention