MINI SHEET 00-8600-059-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,08 report with the FDA on 2012-06-20 for MINI SHEET 00-8600-059-00 manufactured by Zimmer Surgical.

Event Text Entries

[2730298] It was reported that the zimmer ultracare wound sheet is holding in moisture and causing skin irritation. Additional clinical follow up indicated that the sheeting was reported to have been used for a premature infant that was in a thermostatically controlled (35-37 degree celsius) environment. After "a brief period" the customer noted the infant's skin to be red and peeling. An ointment was applied to treat the skin. Additional clinical follow up with the hospital indicated that the use of wound sheeting has been routine in the nicu (neonatal intensive care unit) at the facility since at least 2000. The customer was unable to provide info regarding why the product was chosen. No other info regarding the reason for use of wound sheeting was provided.
Patient Sequence No: 1, Text Type: D, B5


[10063047] The product was not returned for eval. There was indication of lot number, therefore the device history record could not be reviewed. Unable to determine cause of complaint.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1035617-2012-00004
MDR Report Key2631136
Report Source01,05,08
Date Received2012-06-20
Date of Report2012-05-25
Date of Event2012-05-01
Date Mfgr Received2012-05-25
Date Added to Maude2012-06-28
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 ContactCINDY DICKEY
Manufacturer Street1872 OLD MOUNTAIN RD
Manufacturer CitySTATESVILLE NC 28625
Manufacturer CountryUS
Manufacturer Postal28625
Manufacturer Phone7048731001
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMINI SHEET
Generic NameMINI SHEET
Product CodeFPY
Date Received2012-06-20
Model NumberNA
Catalog Number00-8600-059-00
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER SURGICAL
Manufacturer Address1872 OLD MOUNTAIN RD STATESVILLE NC 28625 US 28625


Patients

Patient NumberTreatmentOutcomeDate
10 2012-06-20

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