PRIMAPORE DRESSING 4" X 3&1/8"

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-04-30 for PRIMAPORE DRESSING 4" X 3&1/8" manufactured by .

Event Text Entries

[2753592] Rash under dressing, call summary: pt called to report she now has a rash under her dressing. States it has itched for a while, but now a red rash. No swelling, drainage, advised pt to cleanse area with dressing kit, allowing each step to dry before moving to next step. Then to use only a sterile 4x4 gauze dressing taped on, for 2-3 days. She agreed. Advised she will need to monitor this dressing and change it immediately if gets moist or damp. She voiced understanding. Agreed to call back 24/7 if rash worsens, does not improve, any drainage, swelling, etc. Will request branch staff follow up. Did not specify which dressing is causing the issue.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5025283
MDR Report Key2561670
Date Received2012-04-30
Date of Report2012-04-18
Date of Event2012-04-17
Date Added to Maude2012-05-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NamePRIMAPORE DRESSING 4" X 3&1/8"
Generic NameDRESSINGS
Product CodeKGX
Date Received2012-04-30
Device Sequence No1
Device Event Key0

Device Sequence Number: 2

Brand NameDRESSING CHANGE KIT W/CHLORHEXIDINE
Generic NameDRESSING CHANGE KIT
Product CodeMCY
Date Received2012-04-30
Device Sequence No2
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-04-30

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