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