FDA Adverse Event
Malfunction
Summary report: N
SILVER ALGINATE II DRESSING
MDR report key: 7730581
·
Received July 30, 2018
Report
- Report Number
- 8044178-2018-00001
- Event Type
- Malfunction
- Date Received
- July 30, 2018
- Report Date
- July 30, 2018
- Manufacturer
- ADVANCED MEDICAL SOLUTIONS LTD
- Product Code
- FRO
- PMA / PMN Number
- K070581
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
BASED UPON THE AVAILABLE INFORMATION THE INCIDENT IS DEEMED A REPORTABLE MALFUNCTION. THE DRESSING WAS NOT USED. THE PRIMARY AND SECONDARY PACKAGING INCLUDES THE STATEMENT "STERILE IN UNOPENED, UNDAMAGED PACKAGE".
Description of Event or Problem · 1
PRIMARY PACKAGING OF WOUND DRESSING "WAS PRINTED, CUT, AND SEALED INCORRECTLY".PHOTOS DEPICTING THE REPORTED COMPLAINT WERE PROVIDED BY THE COMPLAINANT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 575661 | SILVER ALGINATE II DRESSING | ANTIMICROBIAL WOUND DRESSING | FRO | ADVANCED MEDICAL SOLUTIONS LTD | 26373 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |