COMFORTAIRELG

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2018-10-16 for COMFORTAIRELG manufactured by Medline Industries, Inc..

Event Text Entries

[123871472] It was reported that end-user developed urinary tract infection from the whitish powder on the pads of the adult briefs. The end-user reportedly received the adult diapers with whitish powder last (b)(6) 2018. Per report, the end-user went to an emergency department last (b)(6) 2018 and was told she has urinary tract infection. An unknown antibiotic was reportedly prescribed. Reportedly, a month later, the end-user continues to receive adult diapers with whitish powder on the pads and end-user developed another incident of urinary tract infection, which was treated with oral ciprofloxacin antibiotic. Due to the reported medical intervention, this medwatch is being filed. Samples were returned for evaluation and the complaint of whitish powder cannot be confirmed. No linting, sap or whitish powder was noted on the top sheet of the adult briefs. A root cause could not be determined at this time. No additional information is available. If additional information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[123871473] It was reported that end-user developed urinary tract infection from the whitish powder on the pads of the adult briefs. Oral antibiotic treatment was required for the reported uti.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2018-00115
MDR Report Key7970435
Report SourceCONSUMER
Date Received2018-10-16
Date of Report2018-10-16
Date of Event2018-07-01
Date Mfgr Received2018-09-12
Date Added to Maude2018-10-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactBERMON PUNZALAN
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Generic NameBRIEF,COMFORTAIRE,CLOTHLIKE,LG,48-58"
Product CodeEYQ
Date Received2018-10-16
Returned To Mfg2018-10-15
Catalog NumberCOMFORTAIRELG
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093

Device Sequence Number: 1

Generic NameBRIEF,COMFORTAIRE,CLOTHLIKE,LG,48-58"
Product CodeEYQ
Date Received2018-10-16
Returned To Mfg2018-10-15
Catalog NumberCOMFORTAIRELG
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-10-16

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