CAVILON NO STING BARRIER FILM 3346

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2017-05-16 for CAVILON NO STING BARRIER FILM 3346 manufactured by 3m Health Care.

Event Text Entries

[75256403] (b)(4). Current packaging states the following: warning! Extremely flammable caution, see instructions for use. The packaging artwork is in the process of being updated to include the red diamond flame symbol. Instructions for use state the following: warnings: danger! Highly flammable! Cavilon no sting barrier film is highly flammable until it has completely dried on the skin. Cavilon no sting barrier film should only be applied when no ignition sources or heat-producing devices are in use. Avoid using around flames. Use in a well ventilated area.
Patient Sequence No: 1, Text Type: N, H10


[75256405] Customer reported she applied 3346 cavilon no sting barrier film spray to a cut in her genital area and rubbed it in with her hand. She reportedly lit a cigarette and her hand ignited in flames. She was reportedly transported to the hospital via ambulance. She allegedly experienced a 2nd degree burn to her palm and a 3rd degree burn to the top portion of her hand. She was reportedly treated for pain with iv and im dilaudid while in the emergency room. She was now using oral dilaudid and silvadene cream for treatment and further follow up has been scheduled.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2110898-2017-00077
MDR Report Key6569542
Report SourceOTHER
Date Received2017-05-16
Date of Report2017-05-09
Date of Event2017-05-09
Date Mfgr Received2017-05-09
Date Added to Maude2017-05-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS KAREN KRENIK, BSN
Manufacturer Street3M CENTER BUILDING 275-5W-06 2510 CONWAY AVE
Manufacturer CityST. PAUL MN 55144
Manufacturer CountryUS
Manufacturer Postal55144
Manufacturer Phone6517333091
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCAVILON NO STING BARRIER FILM
Generic NameCAVILON NO STING BARRIER FILM
Product CodeKMF
Date Received2017-05-16
Catalog Number3346
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
Manufacturer3M HEALTH CARE
Manufacturer Address2510 CONWAY AVE ST. PAUL MN 55144 US 55144


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2017-05-16

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