DERMATHERAPY

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 2018-04-12 for DERMATHERAPY manufactured by .

Event Text Entries

[105313114] General use patient gown. The product code listed is not correct. This device is not classified as a medical device. This is a general use patient gown. The initial reporter identified this as an examination gown incorrectly. Model #749d6425, lot #cdc010313880. Other - the information supplied on the gown's use does not meet the fda criteria for a reportable event. The patient gown was not directly implicated in the patient burn/blisters, i. E. , gown had no contact with affected area. This was confirmed during follow-up discussions with the (6) hosp. On 2/14/2018 standard textile's vice president of quality, spoke directly with (b)(6), risk management specialist, at (b)(6) hospital. She confirmed that the gown in question came from a completed trial from the (b)(6) burn unit and that the gowns were provided, not purchased. When the trial was completed, the gowns were not returned. Ms. (b)(6) believes that these gowns were put into their regular laundry and circulated with the other examination gowns. Subsequently this patient gown was used on the mri patient that had this medical event occur. As this gown has snaps/metal closures on the top/neck, the mri instruction for use preclude metal from being used during the procedure. Ms. Owens did confirm that metal snaps would not be appropriate for an mri procedure. Important note: the snaps on the gown were not in close proximity to the patient burn/blisters and the upper body areas in contact with the snaps were not associated with the burns or blistering. No adverse effects were observed due to the use of this gown even though gowns with metal snaps should not be used in mri's. Our conclusion is that the patient gown was not involved with the burn/blistering reported by the patient. - attachment: (b)(4)
Patient Sequence No: 1, Text Type: N, H10


[105313115] Hospital indicated that a patient with right leg edema was undergoing an mri and indicated that she felt something during the scan. The scan was stopped and there were two welts on the insides of her thighs. The patient wanted to proceed with the scan. After the scan was complete, blisters appeared in the area of the welts. The gown and robe she was wearing was not touching the area where the blisters arose.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001527185-2018-00001
MDR Report Key7425294
Report SourceOTHER
Date Received2018-04-12
Date Mfgr Received2018-02-12
Device Manufacturer Date2016-11-12
Date Added to Maude2018-04-12
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. BRADLEY BUSHMAN
Manufacturer StreetONE KNOLLCREST DRIVE
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Manufacturer Phone5137619255
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDERMATHERAPY
Generic NameEXAMINATION, GOWN
Product CodeFME
Date Received2018-04-12
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2018-04-12

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