FDA Adverse Event
Malfunction
Summary report: N
MEPILEX BORDER POST-OP AG DRESSING
MDR report key: 9853361
·
Received March 18, 2020
Report
- Report Number
- MW5093841
- Event Type
- Malfunction
- Date Received
- March 18, 2020
- Date of Event
- March 17, 2020
- Report Date
- March 17, 2020
- Manufacturer
- MOLNLYCKE HEALTH CARE, INC.
- Product Code
- FRO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THREE MEPILEX BORDER POST-OP AG DRESSING WERE OPENED AND NOTED TO BE A TANNISH / BROWNISH COLOR AROUND THE EDGES. TWO WERE FROM ONE LOT NUMBER AND ONE FROM ANOTHER. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 309911 | MEPILEX BORDER POST-OP AG DRESSING | DRESSING, WOUND, DRUG | FRO | MOLNLYCKE HEALTH CARE, INC. | 498600 | 19350324 | |
| 309912 | MEPILEX BORDER POST-OP AG DRESSING | DRESSING, WOUND, DRUG | FRO | MOLNLYCKE HEALTH CARE, INC. | 498600 | 19350324 | |
| 309913 | MEPILEX BORDER POST-OP AG DRESSING | DRESSING, WOUND, DRUG | FRO | MOLNLYCKE HEALTH CARE, INC. | 498600 | 19480491 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR |