FINESSE PATCH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-27 for FINESSE PATCH manufactured by Calibra Medical, Inc.

Event Text Entries

[71213729] The lot number for this device was not provided and return is not expected as the product was discarded. No conclusions can be made at this time. (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[71213730] On 3/17/2017 it was reported that the patient developed a small, localized infection and was started on antibiotics; keflex 500 mg bid was prescribed. There was redness and soreness noted by the patient; a small amount of drainage was reported. At the same time, it was reported that the patient was not changing insertion sites at lease every 3 days. The patient was re-instructed to switch sites at least every 3 days and more often if necessary. Patch therapy was resumed according to the health care professional. This complaint is being reported because an adverse event due to use error was reported. There was no indication of a malfunction or defect.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008272700-2017-00007
MDR Report Key6435846
Date Received2017-03-27
Date of Report2017-03-17
Date Mfgr Received2017-03-17
Date Added to Maude2017-03-27
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 ContactKARIN SARGRAD
Manufacturer Street965 CHESTERBROOK BLVD
Manufacturer CityWAYNE PA 19087
Manufacturer CountryUS
Manufacturer Postal19087
Manufacturer Phone4843561808
Manufacturer G1CALIBRA MEDICAL, INC
Manufacturer Street965 CHESTERBROOK BLVD
Manufacturer CityWAYNE PA 19087
Manufacturer CountryUS
Manufacturer Postal Code19087
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFINESSE PATCH
Generic NameFINESSE INSULIN DELIVERYSYSTEM
Product CodeOPP
Date Received2017-03-27
ID Number1-2VSIX7R
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCALIBRA MEDICAL, INC
Manufacturer Address965 CHESTERBROOK BLVD WAYNE PA 19087 US 19087


Patients

Patient NumberTreatmentOutcomeDate
10 2017-03-27

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