FDA Adverse Event
Injury
Summary report: N
SILAGEN ABDOMINAL STRIP
MDR report key: 9653832
·
Received January 30, 2020
Report
- Report Number
- MW5092668
- Event Type
- Injury
- Date Received
- January 30, 2020
- Date of Event
- January 16, 2020
- Report Date
- January 28, 2020
- Manufacturer
- NEWMEDICAL TECHNOLOGY, INC.
- Product Code
- MDA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
THE SILAGEN TAPE CAUSED A REACTION ON MY SKIN AND THE INCISION BEGAN OOZING AND THE SKIN WAS PEELING OFF. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 112749 | SILAGEN ABDOMINAL STRIP | ELASTOMER, SILICONE, FOR SCAR MANAGEMENT | MDA | NEWMEDICAL TECHNOLOGY, INC. | ABDOMINAL STRIP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR |