INTEGUSEAL* MICROBIAL SEALANT IS100 (NON-STERILE) 33734

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a * report with the FDA on 2011-02-22 for INTEGUSEAL* MICROBIAL SEALANT IS100 (NON-STERILE) 33734 manufactured by Kimberly-clark Health Care.

Event Text Entries

[1967502] Kimberly-clark (b)(4), contacted the customer to verify that the non sterile integuseal they ordered and purchased was being placed in convenience kits and sterilized; however, the contact indicated they were not aware that the product they purchased was non sterile and were not sterilizing the product. User facility had potentially been using the non sterile integuseal in the operating room. They later contacted kimberly-clark to report that patients experienced infections following surgeries but did not have additional information regarding use of integuseal. Kimberly-clark has no independent knowledge of the event reported but is relaying the information that was provided by the user facility where the incident occurred. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


[9097239] We were unable to review the device history record as no lot number was provided. Product code 33734 is a non sterile code that was developed for sale to end use customers/distributors or custom tray manufacturers to be packaged in kits that are then eo sterilized. The labeling states "not eo sterilized. Acceptable for use in products that may be eo sterilized. Caution: for manufacturing, processing, or repacking. " a notification has been sent to the customers who purchased non sterile integuseal to reinforce that the product is non sterile as the labeling indicates and requires sterilization by ethylene oxide prior to use. Information from this incident will be included in our product complaint and mdr trend reporting systems. Ongoing analysis of trend information is used to identify the need for additional investigations.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9617175-2011-00001
MDR Report Key1997948
Report Source*
Date Received2011-02-22
Date Added to Maude2011-02-22
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 FDA3
Event Location0
Manufacturer ContactMR RA/QA AE COORDINATOR
Manufacturer Street1400 HOLCOMB BRIDGE RD BLDG 200
Manufacturer CityROSWELL GA 30076
Manufacturer CountryUS
Manufacturer Postal30076
Manufacturer Phone7705877200
Manufacturer G1MEDLOGIC GLOBAL LTD
Manufacturer StreetWESTERN WOOD WAY LANGAGE SCIENCE PARK
Manufacturer CityPLYMOUTH, DEVON
Manufacturer CountryUK
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINTEGUSEAL* MICROBIAL SEALANT IS100 (NON-STERILE)
Generic NameINTEGUSEAL
Product CodeNZP
Date Received2011-02-22
Catalog Number33734
Lot NumberNOT PROVIDED
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerKIMBERLY-CLARK HEALTH CARE
Manufacturer Address1400 HOLCOMB BRIDGE RD BLDG 200 ROSWELL GA 30076 US 30076


Patients

Patient NumberTreatmentOutcomeDate
10 2011-02-22

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