FDA Adverse Event Injury Summary report: N

DEPEND UNDERGARMENTS : GARMENT, PROTECTIVE, FOR INCONTINENCE : EYQ

MDR report key: 9877588 · Received March 25, 2020

Report

Report Number
2184163-2020-00001
Event Type
Injury
Date Received
March 25, 2020
Date of Event
December 31, 2019
Report Date
March 30, 2020
Manufacturer
NEENAH COLD SPRING FACILITY
Product Code
EYQ
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

NEW/CORRECTED INFORMATION: B2: HOSPITALIZATION - INITIAL OR PROLONGED G7: FOLLOW-UP 1 H2: FOLLOW-UP TYPE.

Description of Event or Problem · 0

THIS IS A FOLLOW UP TO CORRECT B2 TO 'HOSPITALIZATION - INITIAL OR PROLONGED'.

Additional Manufacturer Narrative · 1

REVIEW OF THE DEVICE HISTORY RECORD (DHR), SUPPORTING QUALITY RECORDS, AND TWO COMPANION SAMPLES CONFIRMED NO ANOMALIES THAT MAY HAVE CAUSED OR CONTRIBUTED TO THE ADVERSE EVENT.

Description of Event or Problem · 1

CONSUMER REPORTED A HALF HOUR INTO WEARING A DEPEND FIT FLEX UNDERWEAR FOR WOMEN SHE BEGAN TO EXPERIENCE A REACTION WITH DISCOMFORT, REDNESS, SWELLING, VAGINAL ODOR AND PAIN. SHE ALLEGED HER ARMS, WRISTS, HANDS AND VAGINA WERE SWOLLEN AND ITCHY. SHE WENT TO THE HOSPITAL VIA AMBULANCE. DURING TRANSPORT SHE WAS GIVEN IV BENADRYL BY EMS. IN THE EMERGENCY ROOM (ER) SHE WAS DIAGNOSED WITH ACUTE CONTACT DERMATITIS AND GIVEN CEFTRIAXONE IV AND ALSO PREDNISONE AND FAMOTIDINE. SHE WAS HOSPITALIZED FOR OBSERVATION FOR TWO NIGHTS AND DISCHARGED HOME WITH TAPERING DAILY ORAL STEROIDS AND DAILY FAMOTIDINE. CONSUMER REPORTED SHE WAS FEELING MUCH BETTER AND HAD RECOVERED FROM HER REACTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
340115 DEPEND UNDERGARMENTS : GARMENT, PROTECTIVE, FOR INCONTINENCE : EYQ GARMENT, PROTECTIVE, FOR INCONTINENCE EYQ NEENAH COLD SPRING FACILITY FIT FLEX UNDERWEAR FOR WOMEN, LARGE, MAXIMUM ABSORBENCY LF925918X2222

Patients

Seq Age Sex Outcome Treatment
1 83 YR Hospitalization| O