SKIN-PREP WIPES 420400

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 2011-08-22 for SKIN-PREP WIPES 420400 manufactured by Smith & Nephew Wound Management.

Event Text Entries

[9574877] There were no samples returned by the customer and so complaint cannot be confirmed. Some retain samples of some skin prep wipes lots manufactured by this supplier were tested and no evidence of microbial growth was noted. Other return samples of the reported lot 0d200 from other complaints were analyzed by an independent test laboratory and met finished product specifications with no evidence of microbial contamination found. Batch records for the lot indicate all specifications were met at the time of release and no inconsistencies were noted. Skin prep designed to be used to reduce risk of irritation due to friction. It is very critical that the solvent is allowed to dry completely before any device is applied. Sometimes skin irritation under normal use is expected to occur and severity is low- non-serious injury and significant discomfort. Additionally, if sufficient product is not applied, it is likely that it may result poor adhesion of device causing tracts for local infection. Medical review of this complaint confirmed that the reported symptoms cannot be attributed to the use of s&n wipes product.
Patient Sequence No: 1, Text Type: N, H10


[20734217] This skin prep complaint was received post smith & nephew's remedial action (voluntary recall) to prevent an unreasonable risk of substantial harm to the public health (ref. Recall #3006760724-04-06-2011-001r). Patient hospitalized twice in 2011. First hospital visit (b)(6) 2011 for 14 - 18 days. Patient diagnosed with having an infection in her right lung. Second hospital visit patient admitted (b)(6) 2011 and discharged after 12 days. Patient diagnosed with having an infection in her left lung and right arm. Patient states she had a fever constantly for months.
Patient Sequence No: 1, Text Type: D, B5


[20911743] Active investigation in progress; results of investigation to be provided in a supplement report. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006760724-2011-00022
MDR Report Key2218234
Report Source04
Date Received2011-08-22
Date of Report2011-08-19
Date of Event2011-08-09
Date Mfgr Received2011-08-09
Date Added to Maude2011-08-22
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 FDA0
Event Location0
Manufacturer ContactMR TERRY MCMAHON
Manufacturer Street970 LAKE CARILLON DRIVE SUITE 110
Manufacturer CityST. PETERSBURG FL 33716
Manufacturer CountryUS
Manufacturer Postal33716
Manufacturer Phone7273993785
Manufacturer G1SMITH & NEPHEW WOUND MANAGEMENT
Manufacturer Street970 LAKE CARILLON DRIVE SUITE 110
Manufacturer CityST. PETERSBURG FL 33716
Manufacturer CountryUS
Manufacturer Postal Code33716
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSKIN-PREP WIPES
Generic NameBANDAGE, LIQUID, SKIN PROTECTANT
Product CodeNEC
Date Received2011-08-22
Model Number420400
Lot Number0D200
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW WOUND MANAGEMENT
Manufacturer Address970 LAKE CARILLON DRIVE SUITE 110 ST. PETERSBURG FL 33716 US 33716


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2011-08-22

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