MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2006-11-21 for NEOSPORIN SCAR SOLUTION * manufactured by Pfizer Inc..
[18822340]
One of two cases reported by the same reporter. A pregnant female consumer began using one neosporin scar solution sheet (silicone) every 3 to 4 days in 2006 (exact date unspecified) for scar reduction. At time of reporting, the outcome of the pregnancy and product use were unknown. Follow-up information received by pfizer on nov 08, 2006 has upgraded this case to serious. The consumer reported that during a routine pregnancy check-up in 2006 (exact date unspecified), she was informed that the fetus passed away in utero. The consumer stated "the fetus no longer had a heartbeat". The consumer further stated the doctor was unable to determine the cause of death due to the length of time that had passed since the intra-uterine death. The consumer requested no further contact.
Patient Sequence No: 1, Text Type: D, B5
[19032489]
The product was not returned for failure analysis/ laboratory testing. It cannot be ruled out that the product may have possibly caused the event.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 2246407-2006-00011 |
MDR Report Key | 785780 |
Report Source | 04 |
Date Received | 2006-11-21 |
Date of Report | 2006-11-08 |
Date of Event | 2006-01-01 |
Date Mfgr Received | 2006-11-08 |
Date Added to Maude | 2006-11-24 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 0 |
Manufacturer Street | 201 TABOR RD |
Manufacturer City | MORRIS PLAINS NJ 07950 |
Manufacturer Country | US |
Manufacturer Postal | 07950 |
Manufacturer Phone | 9733850704 |
Manufacturer G1 | * |
Manufacturer Street | * |
Manufacturer City | * |
Manufacturer Country | * |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | NEOSPORIN SCAR SOLUTION |
Generic Name | ELASTOMER, SILICONE, FOR SCAR MANAGEMENT |
Product Code | MDA |
Date Received | 2006-11-21 |
Model Number | * |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Operator | LAY USER/PATIENT |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 773579 |
Manufacturer | PFIZER INC. |
Manufacturer Address | * MORRIS PLAINS NJ 07950 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Death | 2006-11-21 |