IV PREP WIPES 59421200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2011-12-14 for IV PREP WIPES 59421200 manufactured by Smith & Nephew Wound Management.

Event Text Entries

[2504286] Customer, end-user (b)(6) died from sepsis, abdominal abscess and abdominal wound infection. Ms. (b)(6) was using smith & nephew wipes in the area where she received surgery and the same area was the site of persistent infections.
Patient Sequence No: 1, Text Type: D, B5


[9572439] Smith & nephew was contacted regarding the above described incident, which was reported as a field complaint for adverse incident. The customer did not return any product and no lot number was provided. The complaint could not be confirmed. Since no lot number was provided, the manufacturing location of the product could not be determined; hence laboratory testing or the results were not available for review. The control samples for all lots of iv prep wipes recalled by s&n were tested and it met all product specifications with no evidence of microbial growth found. The production records were not reviewed for this investigation. We were unable to determine a specific root cause for this issue. However, independent medical review of similar complaints with this product concluded there was no correlation with the use of iv prep wipes. Sometimes skin irritation and local infection is expected to occur at normal use and the severity is non-serious injury and some discomfort. It is critical that the solvent is completely dried out before the site is used to prepare for injection. Iv prep is an otc drug and is an anti-septic for iv site preparation. At this time no further actions can be taken on this complaint - (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006760724-2011-00058
MDR Report Key2374400
Report Source00
Date Received2011-12-14
Date of Report2011-11-30
Date of Event2011-10-25
Date Mfgr Received2011-10-24
Date Added to Maude2011-12-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationATTORNEY
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 NameIV PREP WIPES
Generic NameBANDAGE, LIQUID, SKIN PROTECTANT
Product CodeNEC
Date Received2011-12-14
Model Number59421200
Lot NumberUNKNOWN
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. Death 2011-12-14

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