FDA Adverse Event
Injury
Summary report: N
THUMB CMC ABDUCTION ORTOHSIS
MDR report key: 8008919
·
Received October 25, 2018
Report
- Report Number
- MW5080820
- Event Type
- Injury
- Date Received
- October 25, 2018
- Date of Event
- October 5, 2018
- Report Date
- October 23, 2018
- Manufacturer
- NORTH COAST MEDICAL, INC.
- Product Code
- ILH
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
ADVERSE REACTION TO THUMB CMC ABDUCTION ORTHOSIS PRESCRIBED FOR THUMB/WRIST SPRAIN (WAS ORIGINALLY AS BROKEN) MADE FROM NEOPRENE WITH ANTI-MICROBIAL TREATED TERRYCLOTH LINING. I DEVELOPED A BURN-LIKE REACTION ON WRIST THAT ITCHED, BLISTERED, PEELED AND ALSO DEVELOPED A RASH. THE BURN/PEELING WAS UNDER THE SPLINT ON THE WRIST AND THE RASH BEGAN AT THE BOTTOM OF MY THUMB AND EXTENDED ACROSS THE BACK OF MY HAND. ALMOST FOUR WEEKS LATER (REMOVING IT AFTER TWO WEEKS), I STILL HAVE THE RASH. MADE IN (B)(6), MFG BY NORTH COAST MEDICAL, INC. THANK YOU.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 844298 | THUMB CMC ABDUCTION ORTOHSIS | SPLINT, HAND, AND COMPONENTS | ILH | NORTH COAST MEDICAL, INC. | NC79499-P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Other |