WRX279024

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2016-04-20 for WRX279024 manufactured by Medline Industries, Inc..

Event Text Entries

[43081775] It was reported that while using the device on each leg, the leg casts became wet and had to be replaced. The operative sites were not affected. The sample was returned and evaluated. The openings of both protectors had stretch marks around it suggesting that both had been used. Moisture could be observed on the outside of the devices but not on the inside. It is not known if the cast protectors were appropriately applied prior to use to prevent water from entering. There was no indication of a manufacturing defect. A root cause has not been determined. Due to the need for the casts to be replaced, this medwatch is being filed.
Patient Sequence No: 1, Text Type: N, H10


[43081776] While using cast protectors bilaterally, both of the casts became wet and had to be replaced.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2016-00042
MDR Report Key5590596
Report SourceCONSUMER
Date Received2016-04-20
Date of Report2016-04-20
Date of Event2016-03-22
Date Mfgr Received2016-03-22
Device Manufacturer Date2015-09-01
Date Added to Maude2016-04-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDIANE CHRISTENSEN
Manufacturer StreetONE MEDLINE PLACE
Manufacturer CityMUNDELEIN IL 60060
Manufacturer CountryUS
Manufacturer Postal60060
Manufacturer Phone8476434747
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameCAST PROTECTOR
Product CodeKIA
Date Received2016-04-20
Catalog NumberWRX279024
Lot Number90115090037
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressONE MEDLINE PLACE MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-04-20

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