FINESSE PATCH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,study report with the FDA on 2016-08-29 for FINESSE PATCH manufactured by Calibra Medical, Inc.

Event Text Entries

[53374443] Calibra has been unable to request return of the product at this time. If the device is returned, an evaluation shall be completed and a supplemental report will be filed. No conclusions can be made at this time. (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[53374444] On (b)(6) 2016, it was reported that the infusion site was possibly infected and was treated by a health care professional. It was said that there was pain after insertion, that the patient continued to wear the patch for 2 days, and there was bleeding and swelling around the area of insertion. The hcp evaluated the site and determined that it was a possible infection due to the insertion possibly hitting a blood vessel. An oral antibiotic was prescribed for 10 days. No further information has been received. The device was discarded by the patient and no lot number was made available. No information about other sources of infection were explored (site preparation, for example). The complaint is being reported because the patient required medical intervention to treat a possible infection that may have been caused or contributed to by the device.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008272700-2016-00025
MDR Report Key5910561
Report SourceCONSUMER,STUDY
Date Received2016-08-29
Date of Report2016-08-19
Date Mfgr Received2016-08-19
Date Added to Maude2016-08-29
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
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSAM CRAWFORD
Manufacturer Street220 SAGINAW DR
Manufacturer CityREDWOOD CITY CA 940634725
Manufacturer CountryUS
Manufacturer Postal940634725
Manufacturer Phone6502984705
Manufacturer G1CALIBRA MEDICAL, INC
Manufacturer Street220 SAGINAW DR
Manufacturer CityREDWOOD CITY CA 940634725
Manufacturer CountryUS
Manufacturer Postal Code940634725
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFINESSE PATCH
Generic NameFINESSE INSULIN DELIVERYSYSTEM
Product CodeOPP
Date Received2016-08-29
ID Number1-2VSIX7R
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCALIBRA MEDICAL, INC
Manufacturer Address220 SAGINAW DR REDWOOD CITY CA 940634725 US 940634725


Patients

Patient NumberTreatmentOutcomeDate
10 2016-08-29

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