MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-18 for CAVILON NO STING BARRIER FILM manufactured by 3m.
[38426527]
Patient Sequence No: 1, Text Type: N, H10
[38426528]
Cavilon hadn't yet dried. Electrocautery was activated causing fire to cavilon lollipop.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 5443640 |
| MDR Report Key | 5443640 |
| Date Received | 2016-02-18 |
| Date of Report | 2016-01-07 |
| Date of Event | 2015-04-07 |
| Report Date | 2015-04-30 |
| Date Reported to FDA | 2015-04-30 |
| Date Reported to Mfgr | 2015-04-30 |
| Date Added to Maude | 2016-02-18 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 0 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CAVILON NO STING BARRIER FILM |
| Generic Name | BANDAGE, LIQUID |
| Product Code | KMF |
| Date Received | 2016-02-18 |
| Device Expiration Date | 2017-11-01 |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | 3M |
| Manufacturer Address | 3M CENTER 2510 CONWAY AVE BUILDING 275-5W-06 ST. PAUL, MN 55144 US 55144 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-02-18 |