MAUDE MDR 7036384

MDR report key
7036384
Report number
1419937-2017-00320
Event key
0
Event type
3
Date of event
2017-10-12
Date received
2017-11-16
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
ROBERT SOKOLOWSKI
Address
1101 CORPORATE DRIVE MCHENRY IL 60050 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TENDER CARE HYDROGEL PADSNURSING PAD, HYDROGELMEDELA LLCNTC87123NA87123NA* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-11-1601. O

Event Narratives#

N

Patient 1

IN FOLLOW UP WITH THE CUSTOMER ON (B)(6) 2017, THE CUSTOMER RESPONDED THAT SHE MAY HAVE AN ALLERGY TO ONE OF THE INGREDIENTS IN THE HYDROGEL PADS THAT SHE DIDN'T KNOW ABOUT, AND WILL HAVE TO AVOID COMING IN CONTACT WITH IT IN THE FUTURE. SHE INDICATED THAT SHE WAS PRESCRIBED AN ANTIBIOTIC AND STOPPED USING THE HYDROGEL PADS IMMEDIATELY, THOUGH THE PRODUCT WAS VERY HELPFUL IN DOING WHAT IT WAS DESIGNED TO DO, BUT JUST DIDN'T WORK WITH HER SENSITIVE SKIN. SHE STATED THAT SHE DISCARDED THE PRODUCT. REPORTED ISSUES OF RASH RELATED TO THE HYDROGEL PADS WERE INVESTIGATED UNDER (B)(4), WHICH DETERMINED THE PROBABLE ROOT CAUSES TO BE (1) CUSTOMERS WITH GLYCERIN ALLERGIES EXPERIENCING AGGRESSIVE IMMUNE REACTIONS DUE TO THE FACT THAT GLYCERIN IS AN INTEGRAL INGREDIENT IN THE HYDROGEL PADS AND (2) PATHOGENS OR ALLERGENS THAT COME IN CONTACT WITH EXPOSED HYDROGEL PADS WHICH WOULD SUBSEQUENTLY BE INTRODUCED TO THE USER?S BREAST.

D

Patient 1

ON (B)(6) 2017, THE CUSTOMER ALLEGED VIA EMAIL TO MEDELA LLC THAT SHE USED THE TENDER CARE HYDROGEL PADS FOR THE FIRST TIME AND EXPERIENCED A SEVERE ALLERGIC REACTION. THE PRODUCT WORKED WELL AT FIRST UNTIL HER ENTIRE BREASTS BECAME COVERED IN HIVES, SWOLLEN AND RED ALL OVER. TO HER KNOWLEDGE, SHE DIDN'T HAVE ALLERGIES TO THE LISTED INGREDIENTS, BUT DID INDICATE AN ALLERGY TO LATEX. SHE WANTED TO KNOW IF THERE WAS ANY LATEX IN THE PRODUCT; OTHERWISE, SHE MAY HAVE DISCOVERED ANOTHER ALLERGY.