UNKNOWN ACTICOAT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-06 for UNKNOWN ACTICOAT manufactured by Smith & Nephew Medical Ltd..

Event Text Entries

[91055349]
Patient Sequence No: 1, Text Type: N, H10


[91055350] It was reported that a patient presented at a hospital with acticoat adhered to the wound. It was applied 3 days prior to presentation and was stuck to the wound; it could not be removed by saturating the dressing. The surrounding tissue began to macerate and it appeared that the skin grew into the dressing. Patient outcome not confirmed.
Patient Sequence No: 1, Text Type: D, B5


[107865959] [(b)(4)].
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8043484-2017-00250
MDR Report Key7002535
Date Received2017-11-06
Date of Report2017-11-09
Date of Event2017-09-28
Date Mfgr Received2017-09-28
Date Added to Maude2017-11-06
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 ContactMR MARKUS POETTKER
Manufacturer StreetSCHACHENALLEE 29
Manufacturer CityAARAU 5001
Manufacturer CountrySZ
Manufacturer Postal5001
Manufacturer G1SMITH & NEPHEW MEDICAL LTD.
Manufacturer Street101 HESSLE ROAD
Manufacturer CityHULL HU3 2BN
Manufacturer CountryUK
Manufacturer Postal CodeHU3 2BN
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN ACTICOAT
Generic NameDRESSING, WOUND AND BURN, OCCLUSIVE
Product CodeMGP
Date Received2017-11-06
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW MEDICAL LTD.
Manufacturer Address101 HESSLE ROAD HULL HU3 2BN UK HU3 2BN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-11-06

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