MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-11-20 for TCC-EZ CASE OF 10 CASTING SYSTEMS 3" W/2 REG BOOTS TCC23000 manufactured by Derma Sciences, Inc..
[128015692]
The device involved in the reported incident is not available for evaluation. An investigation has been initiated based on the reported information.
Patient Sequence No: 1, Text Type: N, H10
[128015693]
It was reported that a tcc-ez cast caused a wound on the toe from the cast caving in and rubbing the skin. Customer states, "the casts are not warming and hardening like they used too". Medical intervention was required to treat the wound and re-cast the patient.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9680091-2018-00034 |
| MDR Report Key | 8093010 |
| Report Source | COMPANY REPRESENTATIVE,HEALTH |
| Date Received | 2018-11-20 |
| Date of Report | 2018-10-31 |
| Date Mfgr Received | 2018-11-22 |
| Date Added to Maude | 2018-11-20 |
| 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 | 3 |
| Manufacturer Contact | USER VIVIAN NELSON |
| Manufacturer Street | 311 ENTERPRISE DRIVE |
| Manufacturer City | PLAINSBORO NJ 08536 |
| Manufacturer Country | US |
| Manufacturer Postal | 08536 |
| Manufacturer Phone | 6099362393 |
| Manufacturer G1 | DERMA SCIENCES, INC. |
| Manufacturer Street | 104 SHORTING ROAD |
| Manufacturer City | TORONTO, ONTARIO M1S 3S4 |
| Manufacturer Country | CA |
| Manufacturer Postal Code | M1S 3S4 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TCC-EZ CASE OF 10 CASTING SYSTEMS 3" W/2 REG BOOTS |
| Generic Name | TCC-EZ |
| Product Code | ITG |
| Date Received | 2018-11-20 |
| Catalog Number | TCC23000 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | DERMA SCIENCES, INC. |
| Manufacturer Address | 104 SHORTING ROAD 104 SHORTING ROAD TORONTO, ONTARIO M1S 3S4 CA M1S 3S4 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-11-20 |