MAUDE MDR 2249645

MDR report key
2249645
Report number
2939821-2011-00011
Event key
0
Event type
3
Date of event
2009-01-09
Date received
2011-08-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
DAN LYNCH
Address
8100 CAMINO ARROYO GILROY CA 95020 US
Phone
408-408-4087
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1COMFORT COOL THUMB CMC RESTRICTION SPLINTTHUMB CMC RESTRICTION SPLINTNORTH COAST MEDICAL, GILROYILINANC79564NAR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12011-08-2601. O

Event Narratives#

D

Patient 1

CUSTOMER DEVELOPED A RASH AFTER WEARING THE THUMB CMC RESTRICTION SPLINT FOR FOUR DAYS. THE SPLINT IS A LATEX FREE PRODUCT.

N

Patient 1

ADD'L CATALOG# NC79565.