STERI-STRIP WOUND CLOSURES (REINFORCED) R1547

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2010-08-30 for STERI-STRIP WOUND CLOSURES (REINFORCED) R1547 manufactured by 3m Healthcare.

Event Text Entries

[17064463] On (b)(6)2010, the pt called and reported that she had a breast biopsy and had 2 inch strips placed vertically and she developed blisters under the strips and the strips removed skin when they were removed. She reported that following the breast biopsy, she experienced hot, very painful swelling the size of the palm of her hand. The pt claims insists it's an allergic reaction to latex. The pt claims to have latex allergy. The nurse was contacted and she reported that the doctor didn't think it was an infection two days post op but prescribed an antibiotic and oral benadryl to prophylactically cover either an infection or inflammation. The nurse reported on (b)(6) that the redness was improving.
Patient Sequence No: 1, Text Type: D, B5


[17313432] Conclusion: the device was not returned to 3m for eval, therefore, no eval or conclusion can be drawn. Product labeling states the expected adverse events with product use in the warning section shown below: warnings: the development of postoperative edema may cause skin shearing, skin blistering, or loss of tape adhesion to occur at either end of the strip. Application of any surgical tape or adhesive skin closure may result in skin stripping upon removal. As with all adhesive products applied to the skin, a small percentage of individuals may experience hypopigmentation or hyperpigmentation following removal. Occasional cases of mild acne and folliculitis have been observed in testing on healthy volunteers.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2110898-2010-00100
MDR Report Key1826391
Report Source04
Date Received2010-08-30
Date of Report2010-08-20
Date of Event2010-08-03
Date Mfgr Received2010-08-04
Date Added to Maude2010-09-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDAISY SIN
Manufacturer Street3M CENTER, BLDG 0275-05-W-06
Manufacturer CityST. PAUL MN 55144
Manufacturer CountryUS
Manufacturer Postal55144
Manufacturer Phone6517374488
Manufacturer G13M HEALTHCARE PLANT
Manufacturer CityBROOKINGS SD
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTERI-STRIP WOUND CLOSURES (REINFORCED)
Generic NameNONE
Product CodeFPX
Date Received2010-08-30
Catalog NumberR1547
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
Manufacturer3M HEALTHCARE
Manufacturer AddressST. PAUL MN US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-08-30

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