MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2016-10-17 for SKIN-PREP WIPES BOX 50 01 420400 manufactured by Smith & Nephew Medical Ltd..
[57551610]
Patient Sequence No: 1, Text Type: N, H10
[57551611]
It was reported that a patient suffered a rash like adverse skin reaction upon initial application. She reported erythema, pruritus, oozing of serous fluid, pain and wrinkles.
Patient Sequence No: 1, Text Type: D, B5
[68396247]
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 8043484-2016-00139 |
| MDR Report Key | 6032963 |
| Report Source | CONSUMER |
| Date Received | 2016-10-17 |
| Date of Report | 2016-09-20 |
| Date of Event | 2016-09-18 |
| Date Mfgr Received | 2016-09-20 |
| Date Added to Maude | 2016-10-17 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MRS CLAUDIA ODOY |
| Manufacturer Street | SCHACHENALLEE 29 |
| Manufacturer City | AARAU 5001 |
| Manufacturer Country | SZ |
| Manufacturer Postal | 5001 |
| Manufacturer G1 | SPAN PACKAGING SERVICES |
| Manufacturer Street | LLC. 4611 DAIRY ROAD |
| Manufacturer City | GREENVILLE SC 29607 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 29607 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SKIN-PREP WIPES BOX 50 01 |
| Generic Name | BANDAGE, LIQUID |
| Product Code | KMF |
| Date Received | 2016-10-17 |
| Model Number | 420400 |
| Catalog Number | 420400 |
| Lot Number | 94100 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITH & NEPHEW MEDICAL LTD. |
| Manufacturer Address | 101 HESSLE ROAD HULL HU3 2BN UK HU3 2BN |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2016-10-17 |